Individual provider Active NPI

Aurora Lee

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1609597186
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443
Phone
(925) 602-7060
Fax
(925) 602-7070
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443

Mailing address

575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443
Phone (925) 602-7060

Other practice location 1

109 Amethyst Ct
Hercules, CA 94547-1712
Phone (510) 220-1464

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
I20230421002042 CA Practitioner - Physician Assistant 8921463126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Feb 20, 2023 Accepting new patients
Bass Medical Group CurrentSince Feb 20, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

575 Lennon Ln
Ste 152
Walnut Creek, CA 94598
Phone (925) 602-7060

Interoperability endpoints

  • Direct secure messaging: alee160296@ehr.johnmuirhealth.com

Organizations & group practices 4

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1609597186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 152",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-602-7060",
            "fax_number": "925-602-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 152",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-602-7060",
            "fax_number": "925-602-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Amethyst Ct",
            "address_purpose": "LOCATION",
            "city": "Hercules",
            "state": "CA",
            "postal_code": "945471712",
            "country_code": "US",
            "telephone_number": "510-220-1464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AURORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.