Christen Lee, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

19960 Issued in CA

Practice address

255 Terracina Blvd Ste 205C
Redlands, CA 92373-4870

Phone

(909) 793-2323

Fax

(909) 793-2324

NPI assigned

Dec 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christen Buirley Former name

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keith Mark Gross MD IncGroup PAC ID 4587712500, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Keith Mark Gross MD Inc

  • Dermatology Physician
  • Victorville, CA
  • NPI 1871658278
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1710280383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 205C",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-2323",
            "fax_number": "909-793-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 205C",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-2323",
            "fax_number": "909-793-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 genesee ave",
            "address_2": "860",
            "address_purpose": "LOCATION",
            "city": "la jolla",
            "state": "CA",
            "postal_code": "92037",
            "country_code": "US",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEN",
            "last_name": "BUIRLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Pamela Lee
• Annette Wing Yu Lee, PSY.D.
• Brandon Kaiming Lee, D.O.
• Brenda Lizette Lee, RDHAP
• Carl Lee
• Christine Lee
• Diana C Lee
• Edwin K Lee, PA-C
• Frank Lee
• Jacinda Hayoung Lee

• Medical Physician Assistant in Redlands, CA
• Providers in Redlands, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.