Active NPI
D'Andra Nicole Lee, FNP-C
- Family Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1588325633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95019592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NP95019592 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Orthopedics | Current | Accepting new patients | |
| Dove Street Surgical Center | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Newport Beach, CA
- NPI 1770976359
-
- Pain Clinic/Center
- Newport Beach, CA
- NPI 1730571514
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.