Individual provider Active NPI

Amy Lee

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1508352717
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95019108 Issued in CA
Practice address
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone
(949) 764-4624
NPI assigned
Jul 11, 2018
Last updated
Jun 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95019108 CA Primary

Addresses

Primary practice location

1 Hoag Dr
Newport Beach, CA 92663-4162

Mailing address

1 Hoag Dr
Newport Beach, CA 92663-4162

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
I20220311001772 CA Practitioner - Nurse Practitioner 7214322163 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
BLDG 31
Newport Beach, CA 92663-4162
Phone (949) 650-3350

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Feb 1, 2022 Accepting new patients
Regents of the University of California CurrentSince Feb 1, 2022 Accepting new patients
Crossroads Institute for Psychotherapy and Assessment, Inc CurrentSince Oct 2, 2023 Accepting new patients
Hoag Clinic CurrentSince Sep 6, 2025 Accepting new patients
Community Research Foundation Inc Case Manager/Care Coordinator CurrentSince Apr 26, 2022 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Past Accepting new patients

Locations

19762 MacArthur Blvd
Ste 120
Irvine, CA 92612
Phone (424) 201-1600

1000 Wilshire Blvd
Ste 240
Los Angeles, CA 90017
Phone (424) 201-1600

File 57326
Los Angeles, CA 90074

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

1 Hoag Dr
Bldg 31
Newport Beach, CA 92663
Phone (949) 650-3350

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

1045 9th Ave
San Diego, CA 92101
Phone (619) 235-2600

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 1

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1508352717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "949-764-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.