Active NPI
Pamela Jean Lee, P.A.
- Medical Physician Assistant
- Long Beach, CA
National Provider Identifier
1255362984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- WPA17020
- Practice address
- 3610 Atlantic Ave
Long Beach, CA 90807-3418 - Phone
- (562) 424-8814
- Fax
- (562) 427-2604
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PA17020 | CA | |
| Medical Physician Assistant | 363AM0700X | WPA17020 | CA | Primary |
| Physician Assistant | 363A00000X | WPA17020 | CA |
Addresses
Primary practice location
3610 Atlantic Ave
Long Beach, CA 90807-3418
Mailing address
PO Box 17369
Long Beach, CA 90807-7369
Phone (562) 424-8814
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 38.53 of 100
- Quality
- 20.07
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 75.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17020 | CA | MD | Internal Medicine Physician |
| WPA17020 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners a Medical Group | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Cardiovascular Disease Physician
- Torrance, CA
- NPI 1427480987
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1639126279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1255362984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17369",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908077369",
"telephone_number": "562-424-8814",
"fax_number": "562-427-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073418",
"telephone_number": "562-424-8814",
"fax_number": "562-427-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAMELA",
"middle_name": "JEAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "PA17020",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "WPA17020",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "WPA17020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.