Individual provider Active NPI

Lee Kissel, MD

  • Family Medicine Physician
  • Manhattan Beach, CA
National Provider Identifier
1164473351
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45642 Issued in CA
Practice address
855 Manhattan Beach Blvd
Suite 102
Manhattan Beach, CA 90266-4965
Phone
(310) 939-7858
Fax
(310) 939-7842
NPI assigned
May 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G45642 CA Primary

Addresses

Primary practice location

855 Manhattan Beach Blvd
Suite 102
Manhattan Beach, CA 90266-4965

Mailing address

3105 Lomita Blvd
Torrance, CA 90505-5108
Phone (310) 784-4926

Other identifiers 1

IdentifierTypeStateIssuer
00G456420OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000799 CA Practitioner - Family Practice 5991727265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

855 Manhattan Beach Blvd
Suite 102
Manhattan Beach, CA 90266-4965
Phone (310) 939-7858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
South Bay Family Medical Group Family Medicine Current Accepting new patients
Torrance Memorial Medical Center Current Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

855 Manhattan Beach Blvd
Ste 102
Manhattan Beach, CA 90266
Phone (310) 374-9649

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

3105 Lomita Blvd
Torrance, CA 90505
Phone (310) 784-3706

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lee.kissel@direct.tmmc.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164473351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055108",
            "telephone_number": "310-784-4926",
            "fax_number": "310-891-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MANHATTAN BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664965",
            "telephone_number": "310-939-7858",
            "fax_number": "310-939-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G456420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.