Chen-CHI Lee, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19660 Issued in CA

Practice address

415 W Valley Blvd # C
San Gabriel, CA 91776-3728

Phone

(626) 943-9240

Fax

(626) 943-9242

NPI assigned

Dec 4, 2009

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 CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: chen-chi.lee@183525829181444.direct.elationemr.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Green Pine Home Health Care Services, Inc

  • Home Health Agency
  • San Gabriel, CA
  • NPI 1780696518

  W-2 Managing Employee

  CMS ownership

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.

• New Valley Medical Group Inc

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1669612297
  Medicare reassignment
• Del Mar Medical Group

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1528240595
  NPD (past)
• Green Pine Home Health Care Services, Inc

  • Home Health Agency
  • San Gabriel, CA
  • NPI 1780696518
  NPD (past)

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1841528692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917690210",
            "telephone_number": "909-629-8088",
            "fax_number": "909-629-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W VALLEY BLVD # C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763728",
            "telephone_number": "626-943-9240",
            "fax_number": "626-943-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHEN-CHI",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ledesma
• Aiah Shyanne Lee, PHARMD
• Alice Lee, O.D.
• Allen Hsiu-Jen Lee, D.D.S.
• Angelin Lee, NP
• David S Lee, D.D.S.
• Hao-Fu Lee, DDS, MS
• Hyunjung Lee, FNP-C
• Julie Lee, D.P.T.
• Kenny Lee, PHARMD

• Physician Assistant in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.