Active NPI
Lauren Lee
- Physician Assistant
- El Dorado Hills, CA
National Provider Identifier
1942043930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4921 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9632 - Phone
- (916) 597-2687
- NPI assigned
- Jun 17, 2024
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
4921 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9632
Mailing address
1077 N Vista Verde
Litchfield Park, AZ 85340-4502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10489 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Folsom Cardiology Inc | Current | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients |
Locations
4921 Golden Foothill Pkwy
El Dorado Hls, CA 95762
Phone (916) 597-2687
Interoperability endpoints
- lauren.lee.1@11852.direct.athenahealth.com
- llee@regencydermatologyandplasticsurgery.emadirect.md
Organizations & group practices 4
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.
-
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
- NPI 1972086924
-
- MOHS-Micrographic Surgery Physician
- Surprise, AZ
- NPI 1932630563
-
- Cardiovascular Disease Physician
- El Dorado Hills, CA
- NPI 1447633383
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1942043930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 N VISTA VERDE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853404502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 GOLDEN FOOTHILL PKWY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629632",
"telephone_number": "916-597-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.