1. Home
  2. Directory
  3. California
  4. Gonzales
  5. Physician Assistant
  6. NPI Profile

JAEHO JOSHUA LEE PA-C
NPI 1013752096
Physician Assistant in Gonzales, CA

Active since July 01, 2024
133 4TH ST, GONZALES, CA 93926(831) 290-5100(831) 290-5151 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Jul 1, 2024 (2 updates tracked since 2024).

About Jaeho Joshua Lee Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAEHO JOSHUA LEE PA-C (NPI 1013752096) is an individual physician assistant in Gonzales, California, licensed in California (PA66825) and active in the NPI registry since July 2024. He maintains a secondary practice location in Longmeadow.

NPPES Registry Identity

NPI1013752096
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAEHO JOSHUA LEECredential: PA-C
Location Address133 4TH STGonzales, CA 93926
Mailing Address2253 Daisy LnLa Canada Flintridge, CA 91011-1412
Phone(831) 290-5100
Fax(831) 290-5151
Sole ProprietorNo
Enumeration DateJuly 1, 2024
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1013752096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66825
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
133 4TH ST, Gonzales, CA 93926
Open in Google Maps ↗

Secondary Practice Location 1

Location 1588 Longmeadow StLongmeadow, MA 01106-2292 · Phone (800) 782-7284

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaeho Lee's NPI number?

The NPI number for Jaeho Lee is 1013752096. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Jaeho Lee located?

Jaeho Lee practices at 133 4th St, Gonzales, CA 93926. The listed phone number is (831) 290-5100.

What is Jaeho Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jaeho Lee was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.