Active NPI
Kevin Lee, PA-C
- Physician Assistant
- Salinas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 63162 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Dermatology, LLC | Past | Accepting new patients |
Interoperability endpoints
- kevin.lee@schweigerderm.emadirect.md
- 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.
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
dba Metropolitan Dermatology
- Dermatology Physician
- Staten Island, NY
- NPI 1417316274
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.