Individual provider Active NPI

Rebecca Seo Lee, FNP-BC

  • Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1336691377
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95005155 Issued in CA
Practice address
9900 Talbert Ave Ste 302
Fountain Valley, CA 92708-5153
Phone
(714) 965-2587
Fax
(714) 965-2583
NPI assigned
Oct 25, 2016
Last updated
Feb 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95005155 CA Primary
Registered Nurse 163W00000X 801033 CA

Addresses

Primary practice location

9900 Talbert Ave Ste 302
Fountain Valley, CA 92708-5153

Mailing address

9900 Talbert Ave Ste 200
Fountain Valley, CA 92708-5153
Phone (714) 965-2543

Other practice location 1

20981 Magnolia St
Huntington Beach, CA 92646-6338
Phone (714) 965-2500

Other names 1

  • Ja Young Seo Former name

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
I20161116001905 CA Practitioner - Nurse Practitioner 2264711126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Irvine, California College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edinger Medical Group IncGroup PAC ID 6204863269, 15 clinicians

Practice addresses (Care Compare)

9900 Talbert Ave
Fountain Valley, CA 92708-5153
Phone 71496525002551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95005155CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edinger Medical Group, Inc. CurrentSince Jul 12, 2017 Accepting new patients
Edinger Medical Group, Inc. CurrentSince Jul 22, 2025 Accepting new patients
Edinger Medical Group, Inc. Nurse Practitioner CurrentSince Jul 12, 2017 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

9900 Talbert Ave
Ste 302
Fountain Valley, CA 92708
Phone (714) 965-2500

9900 Talbert Ave
Ste 200
Fountain Vly, CA 92708

18682 Beach Blvd
#145155
Huntington Beach, CA 92648
Phone (714) 965-2500

20981 Magnolia St
Huntington Beach, CA 92646
Phone (714) 965-2500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1336691377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2543",
            "fax_number": "714-965-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2587",
            "fax_number": "714-965-2583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20981 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926466338",
            "country_code": "US",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "REBECCA",
        "middle_name": "SEO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95005155",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "801033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JA YOUNG",
            "last_name": "SEO",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.