Jamie Jisue Lee, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52189 Issued in CA

Practice address

18300 Yorba Linda Blvd Ste 201
Yorba Linda, CA 92886

Phone

(714) 577-6000

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1750789780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD STE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864052",
            "telephone_number": "714-577-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD STE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-577-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Corporate Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926941153",
            "country_code": "US",
            "telephone_number": "949-364-9112",
            "fax_number": "949-364-9016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18300 Yorba Linda Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "92886",
            "country_code": "US",
            "telephone_number": "714-577-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMIE",
        "middle_name": "JISUE",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Henri Leblanc
• Rebecca Marie Lech, DO
• Brooke Lee, M.S. CCC-SLP
• David Wonhee Lee, MD
• Henry H. Lee, D.D.S.
• Katy Chao-Yi Lee, MA CCC/SLP
• Linda Soojin Lee, MD
• Michael William Lee, MD
• PO-Yi Lee, O.D.
• Tae Jung Lee, L.AC.

• Physician Assistant in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.