Anne Ya Ping Lee, PA, MSPAS, MPH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1510 S Central Ave Ste 470
Glendale, CA 91204-2514

Phone

(818) 242-6357

Fax

(818) 242-3628

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pure Skin of Beverly Hills Inc

  • Clinic/Center
  • Beverly Hills, CA
  • NPI 1568345874
  Medicare reassignment NPD Authorized official
• Phillip H a Lee MD and Center for Advanced Dermatology

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1124497524
  Medicare reassignment

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1497969067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S SIERRA BONITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192553",
            "telephone_number": "831-234-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 470",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042514",
            "telephone_number": "818-242-6357",
            "fax_number": "818-242-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9615 Brighton Way Ste 303",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105120",
            "country_code": "US",
            "telephone_number": "310-256-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANNE",
        "middle_name": "YA PING",
        "name_prefix": "Mrs.",
        "credential": "PA, MSPAS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayana Lea
• Leader Home Health Inc
• Jensen Leano
• Katie Lebleu, RDN
• Betty Wai-Han Lee-Villanueva, O.D.
• Carol H Lee, OD
• Daniel Kuanyu Lee, M.D.
• David Hyun Lee, D.C.
• Don W Lee, M.D.
• Eric Lee, MD

• Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.