Individual provider Active NPI

Sarah Lee An, NP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1881213874
Registry record updated Apr 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013856 Issued in CA
Practice address
3640 Lomita Blvd Ste 106
Torrance, CA 90505-3920
Phone
(310) 784-8713
Fax
(310) 891-6749
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95013856 CA
Family Nurse Practitioner 363LF0000X 95013856 CA Primary

Addresses

Primary practice location

3640 Lomita Blvd Ste 106
Torrance, CA 90505-3920

Mailing address

25427 Pine Creek LN
Wilmington, CA 90744-1859
Phone (818) 515-5491

Other practice location 1

23326 Hawthorne Blvd Ste 100B
Torrance, CA 90505-3723
Phone (310) 784-3751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.an@tmmc.com

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
I20200511001187 CA Practitioner - Nurse Practitioner 5395176242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Jun 1, 2020 Accepting new patients
Torrance Memorial Medical Center PastSince Apr 1, 2020 Accepting new patients
Torrance Memorial Medical Center PastSince Apr 1, 2020 Accepting new patients

Locations

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3640 Lomita Blvd
Ste 106
Torrance, CA 90505
Phone (310) 375-8088

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Interoperability endpoints

  • Direct secure messaging: san41713@altamed.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1881213874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25427 PINE CREEK LN",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441859",
            "telephone_number": "818-515-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 106",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053920",
            "telephone_number": "310-784-8713",
            "fax_number": "310-891-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23326 Hawthorne Blvd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053723",
            "country_code": "US",
            "telephone_number": "310-784-3751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AN",
        "first_name": "SARAH",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013856",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.an@tmmc.com",
            "affiliation": "N",
            "address_1": "23326 Hawthorne Blvd Ste 100B",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905053723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.