Active NPI
Renee Lee
- Surgical Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 59682
- 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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1588829006
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1164218533
-
- Emergency Medicine Physician
- Los Alamitos, CA
- NPI 1497430870
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Urology Physician
- Whittier, CA
- NPI 1497418800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 59682 | CA | MD | Surgical Physician Assistant |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Pih Health Physicians | Current | 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
- reneelee@pihh.allscriptsdirect.net
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59682 | CA | |
| Surgical Physician Assistant | 363AS0400X | 59682 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.