Individual provider Active NPI

Hessal Kate Lee, PA-C

  • Physician Assistant
  • Norwalk, CA
National Provider Identifier
1770296865
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61931 Issued in CA
Practice address
13820 San Antonio Dr
Norwalk, CA 90650-4033
Phone
(562) 944-2181
NPI assigned
Jan 4, 2023
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 PA61931 CA Primary

Addresses

Primary practice location

13820 San Antonio Dr
Norwalk, CA 90650-4033

Mailing address

13820 San Antonio Dr
Norwalk, CA 90650-4033
Phone (562) 944-2181

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
I20240911002416 CA Practitioner - Physician Assistant 3375083884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61931CAMDClinical Social Worker
PA61931CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montes Medical Group Inc CurrentSince Jun 30, 2024 Accepting new patients
Jonah Medical Group, Inc. PastSince Jan 1, 2023 Accepting new patients

Locations

11822 Floral Dr
Whittier, CA 90601
Phone (562) 205-3405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1770296865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504033",
            "telephone_number": "562-944-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504033",
            "telephone_number": "562-944-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HESSAL",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.