Active NPI
Grace Lee
- Physician Assistant
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55812
- Practice address
- 625 S Fair Oaks Ave Ste 270&380
Pasadena, CA 91105-2613 - Phone
- (424) 314-0177
- Fax
- (424) 314-0180
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55812 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 270&380
Pasadena, CA 91105-2613
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 423-4700
Other practice location 1
14830 Bouquet Ct
Tustin, CA 92780-1605
Phone (909) 435-1972
Other practice location 2
510 Superior Ave Ste 200G
Newport Beach, CA 92663-3664
Phone (949) 791-6767
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (310) 665-7200
625 S Fair Oaks Ave
Suite 270
Pasadena, CA 91105-2668
Phone (424) 314-0177
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55812 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Interoperability endpoints
- glee232081@direct.cshs.org
Organizations & group practices 5
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Surgery Physician
- Newport Beach, CA
- NPI 1528330834
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1467932228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-423-4700",
"fax_number": "310-423-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 270&380",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052613",
"telephone_number": "424-314-0177",
"fax_number": "424-314-0180"
}
],
"practiceLocations": [
{
"address_1": "14830 Bouquet Ct",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927801605",
"country_code": "US",
"telephone_number": "909-435-1972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Superior Ave Ste 200G",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926633664",
"country_code": "US",
"telephone_number": "949-791-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2023-08-08",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.