Active NPI
Janet Pearl Lee, NP
- Urgent Care Clinic/Center
- Fullerton, CA
National Provider Identifier
1215696620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 802379
- Practice address
- 619 N Acacia Ave
Fullerton, CA 92831-3413 - Phone
- (408) 499-5522
- NPI assigned
- Dec 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 802379 | CA | |
| Urgent Care Clinic/Center | 261QU0200X | 802379 | CA | Primary |
Addresses
Primary practice location
619 N Acacia Ave
Fullerton, CA 92831-3413
Mailing address
619 N Acacia Ave
Fullerton, CA 92831-3413
Phone (408) 499-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802379 | CA | MD | Urgent Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1215696620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 N ACACIA AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313413",
"telephone_number": "408-499-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N ACACIA AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313413",
"telephone_number": "408-499-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JANET",
"middle_name": "PEARL",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "802379",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "802379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.