NPIMap

Individual provider Active NPI

Margaret Victoria Lee, PA

  • Physician Assistant
  • Ferndale, CA
National Provider Identifier
1407365455
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56676 Issued in CA
Practice address
638 Main Street
Ferndale, CA 95536
Phone
(707) 786-4028
NPI assigned
Sep 21, 2017
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56676 CA Primary

Addresses

Primary practice location

638 Main Street
Ferndale, CA 95536

Mailing address

1275 8TH St
Arcata, CA 95521-5770
Phone (707) 826-8633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171110001470 SD Practitioner - Physician Assistant 1850657644 Reassigns benefits to 1 organization
I20190510000060 CA Practitioner - Physician Assistant 1850657644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Tydd St
Eureka, CA 95501-1284
Phone (707) 441-1624

3750 Rohnerville Rd
Fortuna, CA 95540-3118
Phone (707) 725-6101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56676CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Nov 6, 2017 Accepting new patients
Horizon Health Care Inc. CurrentSince Nov 6, 2017 Accepting new patients
Open Door Community Health Centers CurrentSince Mar 18, 2019 Accepting new patients
Open Door Community Health Centers CurrentSince Mar 18, 2019 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

2200 Tydd St
Eureka, CA 95501
Phone (707) 441-1624

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIHAD
  • Direct secure messaging: mlee272767@direct.ochin.org

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 7

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1407365455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 8TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215770",
            "telephone_number": "707-826-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MAIN STREET",
            "city": "FERNDALE",
            "state": "CA",
            "postal_code": "95536",
            "telephone_number": "707-786-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARGARET",
        "middle_name": "VICTORIA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, CA

Sources for this page

Verify at the official NPI Registry.