Individual provider Active NPI

Young a Lee

  • Family Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1518350149
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002100 Issued in CA
Practice address
2529 Monterey PL
Fullerton, CA 92833
Phone
(714) 795-0031
NPI assigned
Mar 6, 2015
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 95002100 CA Primary

Addresses

Primary practice location

2529 Monterey PL
Fullerton, CA 92833

Mailing address

2529 Monterey PL
Fullerton, CA 92833-2030
Phone (714) 795-0031

Other practice location 1

9227 Florence Ave Unit 10
Downey, CA 90240-3583
Phone (714) 795-0031

Other practice location 2

9227 Florence Ave Unit 10
Downey, CA 90240-3583
Phone (714) 795-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Community Hospitals Past Accepting new patients
Joon Kang and Chung Kang Medical Corp PastSince Dec 15, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1518350149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 MONTEREY PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332030",
            "telephone_number": "714-795-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 MONTEREY PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92833",
            "telephone_number": "714-795-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9227 Florence Ave Unit 10",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902403583",
            "country_code": "US",
            "telephone_number": "714-795-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9227 Florence Ave Unit 10",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902403583",
            "country_code": "US",
            "telephone_number": "714-795-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.