Active NPI
Destini Lee
- Peer Specialist
- Santa Ana, CA
National Provider Identifier
1871304410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-GWEJLS
- Practice address
- 1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718 - Phone
- (714) 742-2375
- NPI assigned
- Jan 14, 2025
- Last updated
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-GWEJLS | CA | Primary |
Addresses
Primary practice location
1940 E Deere Ave Ste 100
Santa Ana, CA 92705-5718
Mailing address
3701 Parkview LN Apt 7B
Irvine, CA 92612-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-GWEJLS | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalaya's Destiny | Peer Specialist | Current | Accepting new patients |
Locations
1940 E Deere Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 742-1781
Organizations & group practices 1
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": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1871304410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 PARKVIEW LN APT 7B",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 E DEERE AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055718",
"telephone_number": "714-742-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DESTINI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-GWEJLS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.