Individual provider Active NPI

Yeonsil Lee, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1174195424
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95017174 Issued in CA
Practice address
811 W 7TH St
Los Angeles, CA 90017-3408
Phone
(724) 612-6031
NPI assigned
Jul 15, 2021
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95017174 CA Primary

Addresses

Primary practice location

811 W 7TH St
Los Angeles, CA 90017-3408

Mailing address

811 W 7TH St
Los Angeles, CA 90017-3408
Phone (724) 612-6031

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006002959 CA Practitioner - Nurse Practitioner 0547668428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sham Singh MD IncGroup PAC ID 9830537034, 10 clinicians

Practice addresses (Care Compare)

811 W 7TH St
1200 Office 1048
Los Angeles, CA 90017-3408
Phone (310) 430-7324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017174CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onclick Healthcare Incorporated CurrentSince Jan 19, 2026 Accepting new patients
Sham Singh, M.D., Inc CurrentSince Jan 27, 2026 Accepting new patients

Locations

4766 Park Granada
Ste 206B
Calabasas, CA 91302
Phone (818) 272-8260

811 W 7th St
Ste 1200
Los Angeles, CA 90017
Phone (310) 430-7324

2625 Townsgate Rd
Ste 330
Westlake Vlg, CA 91361
Phone (818) 272-8260

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1174195424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173408",
            "telephone_number": "724-612-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173408",
            "telephone_number": "724-612-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YEONSIL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95017174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.