Individual provider Active NPI

Renee Lee

  • Surgical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1336729151
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
59682 Issued in CA
Practice address
1245 Wilshire Blvd Ste 530
Los Angeles, CA 90017-5733
Phone
(213) 483-1055
Fax
(213) 483-1418
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health Physicians 616 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

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
I20211111000781 CA Practitioner - Physician Assistant 4688063704 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59682CAMDSurgical Physician Assistant

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Sep 12, 2024 Accepting new patients
Cep America-California CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Sep 12, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1245 Wilshire Blvd
Ste 530
Los Angeles, CA 90017
Phone (213) 483-1055

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: reneelee@pihh.allscriptsdirect.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59682 CA
Surgical Physician Assistant 363AS0400X 59682 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1245 Wilshire Blvd Ste 530
Los Angeles, CA 90017-5733

Mailing address

1245 Wilshire Blvd Ste 530
Los Angeles, CA 90017-5733
Phone (213) 483-1055

Other practice location 1

400 N Pepper Ave Ste 107
Colton, CA 92324-1801
Phone (909) 580-2178

Other practice location 2

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1336729151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175733",
            "telephone_number": "213-483-1055",
            "fax_number": "213-483-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175733",
            "telephone_number": "213-483-1055",
            "fax_number": "213-483-1418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171901",
            "country_code": "US",
            "telephone_number": "213-977-2121",
            "fax_number": "213-482-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59682",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "59682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.