Individual provider Active NPI

Michelle Lee, NP

  • Nurse Practitioner
  • Chino, CA
National Provider Identifier
1205642014
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF95032550 Issued in CA
Practice address
16224 Hollyhock Ave
Chino, CA 91708-9486
Phone
(626) 991-3127
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPF95032550 CA Primary

Addresses

Primary practice location

16224 Hollyhock Ave
Chino, CA 91708-9486

Mailing address

16224 Hollyhock Ave
Chino, CA 91708-9486
Phone (626) 991-3127

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
I20250717003450 CA Practitioner - Nurse Practitioner 5496270381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassan Chahine MD IncGroup PAC ID 0547691297, 7 clinicians

Practice addresses (Care Compare)

1771 W Romneya Dr
Suite C
Anaheim, CA 92801-1817
Phone (714) 758-0403

845 N Lark Ellen Ave
West Covina, CA 91791-1069
Phone (626) 339-5451

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF95032550CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive and Liver Disease Specialists a Medical Group Inc CurrentSince Jun 5, 2025 Accepting new patients
Digestive and Liver Diseases Specialists, a Medical Group Inc. CurrentSince Jun 5, 2025 Accepting new patients

Locations

1771 W Romneya Dr
Ste C
Anaheim, CA 92801
Phone (714) 520-3000

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1205642014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16224 HOLLYHOCK AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089486",
            "telephone_number": "626-991-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16224 HOLLYHOCK AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089486",
            "telephone_number": "626-991-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95032550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.