Individual provider Active NPI

Asheena Lee, M.D.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1538425772
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A141551 Issued in CA
Practice address
444 W Ocean Blvd Ste 800
Long Beach, CA 90802-4529
Phone
(888) 628-0235
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A141551 CA Primary

Addresses

Primary practice location

444 W Ocean Blvd Ste 800
Long Beach, CA 90802-4529

Mailing address

444 W Ocean Blvd Ste 800
Long Beach, CA 90802-4529
Phone (888) 628-0235

Other practice location 1

701 W Pratt St Rm 474
Baltimore, MD 21201-1023
Phone (410) 328-6325

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A141551CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fully Living Clinic Psychiatry Current Accepting new patients

Locations

3780 Kilroy Airport Way
Ste 200
Long Beach, CA 90806
Phone (323) 548-8820

444 W Ocean Blvd
Ste 800
Long Beach, CA 90802
Phone (562) 661-8900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1538425772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W OCEAN BLVD STE 800",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024529",
            "telephone_number": "888-628-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OCEAN BLVD STE 800",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024529",
            "telephone_number": "888-628-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Pratt St Rm 474",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011023",
            "country_code": "US",
            "telephone_number": "410-328-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ASHEENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A141551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.