Carissa Cheryl Lee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2100 Powell St Ste 400
Emeryville, CA 94608-1872

Phone

(510) 350-2600

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

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

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

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Kaweah Delta Health Care District

  dba Kaweah Health Urgent Care

  • Urgent Care Clinic/Center
  • Visalia, CA
  • NPI 1790795458
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Kaweah Delta Health Care District

  dba Kaweah Health Cardiothoracic Surgery Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Clovis, CA
  • NPI 1184997645
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Montebello, CA
  • NPI 1396971651
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Youth Crisis Stabilization Unit

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Kaweah Delta Health Care District

  dba Kaweah Health Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1538545520
  NPD
• Anand Narayan MD Inc

  • Rural Health Clinic/Center
  • Dinuba, CA
  • NPI 1477177210
  NPD (past)
• Anand Narayan MD Inc

  • Rural Health Clinic/Center
  • Selma, CA
  • NPI 1952149544
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1841984770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "PO BOX 850 MAIL CODE H152",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "17033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CARISSA",
        "middle_name": "CHERYL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelito Laxamana
• Junko Laxamana, ABOC
• Carolyn Diemchau Le, MD
• Corneka Leblanc-Jackson
• Anne Ledvina, MD
• Zephyre Faeryn Lynx Lee
• Tamara Lei, D.C.
• Jennifer Leigh
• Katelyn Leinbach
• Jeffery J Leinen, M.D.

• Physician Assistant in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.