Individual provider Active NPI

Samantha Kim Lee, NP

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1922714153
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP14025 Issued in CA
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

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NP14025 CA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623004199 CA Practitioner - Nurse Practitioner 4183847841 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
NP14025CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonah Medical Group, Inc. Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.