Grace Li-Yuen Ho Lee, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3513 Issued in AZ

Practice address

3442 W 14TH St
Yuma, AZ 85364-4181

Phone

(626) 808-2424

Fax

(928) 343-7065

NPI assigned

Mar 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Advanced Medical Clinic PLLC

  • Primary Care Clinic/Center
  • Yuma, AZ
  • NPI 1588893366
  NPD (past)
• SWDC Walk-in Clinic

  • Internal Medicine Physician
  • Yuma, AZ
  • NPI 1568749430
  NPD (past)
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1992821516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 W 14TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644181",
            "telephone_number": "626-808-2424",
            "fax_number": "928-343-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3442 W 14TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644181",
            "telephone_number": "626-808-2424",
            "fax_number": "928-343-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRACE",
        "middle_name": "LI-YUEN HO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002438",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Lavotshkin, M.D.
• Edith Clair Lazaro, MSN RN
• Lee D. Hieb, M.D., P.C.
• Erlinda Lee, RN
• Grace Ji Yeon Park Lee, D.D.S.
• Jack Jenchieh Lee
• Junghae Lee, CCC-A
• Kate Lee
• Kathryn Lee, LCSW
• Michael Darrell Lee, M.ED.

• Medical Physician Assistant in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.