Active NPI
Samantha Kim Lee, NP
- Family Nurse Practitioner
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP14025
- Practice address
- 21017 Madrona Ave Apt a
Torrance, CA 90503-4996 - Phone
- (424) 245-9600
- NPI assigned
- Jan 31, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NP14025 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP14025 | CA | Primary |
| Nurse Practitioner | 363L00000X | NP14025 | CA |
Addresses
Primary practice location
21017 Madrona Ave Apt a
Torrance, CA 90503-4996
Mailing address
21017 Madrona Ave Apt a
Torrance, CA 90503-4996
Phone (424) 245-9600
Other practice location 1
11637 The Plz Unit 45
Norwalk, CA 90650-3930
Phone (562) 809-0142
Other practice location 2
866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-2372
Phone (213) 388-5144
Other practice location 3
1151 N Sepulveda Blvd Ste A
Manhattan Beach, CA 90266-5956
Phone (424) 245-9600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21017 Madrona Ave
Apt a
Torrance, CA 90503-4962
866 S Westmoreland Ave
Suite 101
Los Angeles, CA 90005-2372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP14025 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonah Medical Group, Inc. | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBFCCD
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1922714153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21017 MADRONA AVE APT A",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034996",
"telephone_number": "424-245-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21017 MADRONA AVE APT A",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034996",
"telephone_number": "424-245-9600"
}
],
"practiceLocations": [
{
"address_1": "11637 The Plz Unit 45",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CA",
"postal_code": "906503930",
"country_code": "US",
"telephone_number": "562-809-0142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "866 S Westmoreland Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900052372",
"country_code": "US",
"telephone_number": "213-388-5144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1151 N Sepulveda Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902665956",
"country_code": "US",
"telephone_number": "424-245-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SAMANTHA",
"middle_name": "KIM",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "NP14025",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP14025",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP14025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.