Individual provider Active NPI

D'Andra Nicole Lee, FNP-C

  • Family Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1588325633
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95019592 Issued in CA
Practice address
20341 SW Birch St Ste 100
Newport Beach, CA 92660-1517
Phone
(949) 438-1888
Fax
(949) 200-6909
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 NP95019592 CA Primary

Addresses

Primary practice location

20341 SW Birch St Ste 100
Newport Beach, CA 92660-1517

Mailing address

15811 Cortland Ave
Chino, CA 91708-9349
Phone (909) 915-5607

Other practice location 1

20341 SW Birch St Ste 120
Newport Beach, CA 92660-1516
Phone (949) 381-6500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP95019592CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedics CurrentSince Sep 8, 2025 Accepting new patients
Dove Street Surgical Center CurrentSince Sep 8, 2025 Accepting new patients

Locations

20341 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 381-6471

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1588325633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 CORTLAND AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089349",
            "telephone_number": "909-915-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20341 SW BIRCH ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601517",
            "telephone_number": "949-438-1888",
            "fax_number": "949-200-6909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20341 SW Birch St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601516",
            "country_code": "US",
            "telephone_number": "949-381-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "D'ANDRA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95019592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.