Active NPI
Cynthia S Lee, NP
- Nurse Practitioner
- Chino, CA
National Provider Identifier
1700239472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95002922
- Practice address
- 4085 Grand Ave Ste 3
Chino, CA 91710-5438 - Phone
- (909) 282-2678
- NPI assigned
- Jul 19, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 635290 | CA | |
| Nurse Practitioner | 363L00000X | 95002922 | CA | Primary |
Addresses
Primary practice location
4085 Grand Ave Ste 3
Chino, CA 91710-5438
Mailing address
24148 Decorah Rd
Diamond Bar, CA 91765-1411
Phone (951) 201-3003
Other names 1
- Cynthia Serrano
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635290 | CA | MD | Neonatal Intensive Care Registered Nurse |
| 95002922 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1700239472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24148 DECORAH RD",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651411",
"telephone_number": "951-201-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 GRAND AVE STE 3",
"city": "CHINO",
"state": "CA",
"postal_code": "917105438",
"telephone_number": "909-282-2678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CYNTHIA",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "CA",
"license": "635290",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95002922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CYNTHIA",
"last_name": "SERRANO",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.