Individual provider Active NPI

Grace Danbi Lee, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1386112597
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009630 Issued in CA
Practice address
16773 Bernardo Center Dr
San Diego, CA 92128-2525
Phone
(858) 451-2630
NPI assigned
Nov 6, 2018
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009630 CA Primary

Addresses

Primary practice location

16773 Bernardo Center Dr
San Diego, CA 92128-2525

Mailing address

13719 Esprit Ave
San Diego, CA 92128-4706
Phone (918) 859-3151

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
I20190121001016 CA Practitioner - Nurse Practitioner 8527305150 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Tree Nursing CorporationGroup PAC ID 1759871874, 4 clinicians

Practice addresses (Care Compare)

Lemon Grove, CA 91945
Phone (213) 663-8836

7227 Broadway
Suite 402
Lemon Grove, CA 91945-1505
Phone (619) 253-6451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
75.08
Improvement activities
40
Cost
79.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009630CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Tobon-Chung FNP a Professional Nursing Corporation CurrentSince Jan 8, 2025 Accepting new patients
Monica Perlman MD Inc. CurrentSince Mar 25, 2024 Accepting new patients
Olive Tree Nursing Corporation CurrentSince Sep 27, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Apr 8, 2024 Accepting new patients
Universal Care CurrentSince May 13, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince May 13, 2024 Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

7227 Broadway
Ste 402
Lemon Grove, CA 91945
Phone (619) 253-6451

7227 Broadway
Ste 405
Lemon Grove, CA 91945
Phone (213) 663-8836

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

11865 Carmel Mountain Rd
Ste 1104
San Diego, CA 92128
Phone (858) 997-2583

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1386112597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 ESPRIT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284706",
            "telephone_number": "918-859-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16773 BERNARDO CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282525",
            "telephone_number": "858-451-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRACE",
        "middle_name": "DANBI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.