Individual provider Active NPI

Kevin Lee, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1306405030
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63162 Issued in CA
Practice address
114 E Romie LN
Salinas, CA 93901-3126
Phone
(831) 757-1007
Fax
(831) 757-0352
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 63162 CA Primary

Addresses

Primary practice location

114 E Romie LN
Salinas, CA 93901-3126

Mailing address

60 Pompton Ave
Verona, NJ 07044-2946

Other practice location 1

9460 N Name Uno Ste 210
Gilroy, CA 95020-3532
Phone (408) 847-0888

Other practice location 2

60 Pompton Ave
Verona, NJ 07044-2946
Phone (973) 571-2121

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
I20231229001385 CA Practitioner - Physician Assistant 1153650494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

114 E Romie LN
Salinas, CA 93901-3126
Phone (831) 757-1007

18988 Cox Ave
Suite B
Saratoga, CA 95070-4154
Phone (408) 253-4407

909 Hyde St
Suite 419
San Francisco, CA 94109-4846
Phone (415) 678-5887

9781 Blue Larkspur LN
Suite 100
Monterey, CA 93940-6509
Phone (831) 333-9008

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63162CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kevin.lee@schweigerderm.emadirect.md
  • Direct secure messaging: kevlee@csinorthca.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1306405030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013126",
            "telephone_number": "831-757-1007",
            "fax_number": "831-757-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9460 N Name Uno Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950203532",
            "country_code": "US",
            "telephone_number": "408-847-0888",
            "fax_number": "408-847-1257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442946",
            "country_code": "US",
            "telephone_number": "973-571-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.