Priscilla Anne Lee, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 3592 Issued in CA

Practice address

3378 Daniel St
Newbury Park, CA 91320-5016

Phone

(805) 499-5373

Fax

(805) 499-5373

NPI assigned

Jan 3, 2006

Last updated

Aug 1, 2013By 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 2

Addresses

Other identifiers 2

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

Nurse Practitioner

State licenses

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.

• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Medicare reassignment NPD
• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Camarillo, CA
  • NPI 1104865518
  NPD
• Community Memorial Health System

  dba Community Memorial Health Center

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD
• H. Allen Hooper, M.D. a Professional Corporation

  dba Mission Emergency Medical Associates

  • Emergency Medicine Physician
  • Oxnard, CA
  • NPI 1376575118
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1871571612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 DANIEL ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205016",
            "telephone_number": "805-499-5373",
            "fax_number": "805-499-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 DANIEL ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205016",
            "telephone_number": "805-499-5373",
            "fax_number": "805-499-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PRISCILLA",
        "middle_name": "ANNE",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 3592",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "3592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871571612",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMBER ID",
            "identifier": "WNP3592C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaja Lang, M.A., LEP
• Alfred S Lavorato, PH.D.
• Robert Thomas Leark, PHARMD
• Gloria Lo Lee, MD
• Hyung Min Lee, PHARMD
• Jamie M Leff, MSRD
• Gregory Legore
• Lei Yin DDS Dental Corporation (Smile ThirteeToo)
• Michael Levitt, PHARM.D.
• Dan Li, M.D.

• Nurse Practitioner in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.