Individual provider Active NPI

Hai Shan Lee

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1346834520
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95016801 Issued in CA
Practice address
993 N Broadway Ste a
Los Angeles, CA 90012-1764
Phone
(213) 625-7995
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95016801 CA Primary

Addresses

Primary practice location

993 N Broadway Ste a
Los Angeles, CA 90012-1764

Mailing address

993 N Broadway Ste a
Los Angeles, CA 90012-1764
Phone (213) 625-7995

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
I20210813002897 CA Practitioner - Nurse Practitioner 9133523095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristen Lew MD Medical CorporationGroup PAC ID 5395115042, 3 clinicians

Practice addresses (Care Compare)

993 N Broadway
Suite a
Los Angeles, CA 90012-1764
Phone (909) 633-2999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Lew MD Medical Corporation CurrentSince Sep 16, 2025 Accepting new patients

Locations

1510 W Whittier Blvd
La Habra, CA 90631
Phone (626) 215-5132

993 N Broadway
Ste A
Los Angeles, CA 90012
Phone (213) 625-7995

Organizations & group practices 1

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": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346834520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 N BROADWAY STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121764",
            "telephone_number": "213-625-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 N BROADWAY STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121764",
            "telephone_number": "213-625-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HAI",
        "middle_name": "SHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95016801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.