KEVIN LEE
NPI 1063255560
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Q: What is Kevin Lee's NPI number?

The NPI number for Kevin Lee is 1063255560. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Q: What is Kevin Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Lee was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 13, 2024PECOS Enrolled

1906 S PALM GROVE AVE, LOS ANGELES, CA 90016(571) 451-7470 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jan 30, 2026, Sep 8, 2025 and 1 more (4 updates tracked since 2024).

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About Kevin Lee NPPES

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

KEVIN LEE (NPI 1063255560) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95034991) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063255560

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKEVIN LEE

Location Address1906 S PALM GROVE AVELos Angeles, CA 90016-1630

Mailing Address1906 S Palm Grove AveLos Angeles, CA 90016-1630 · (571) 451-7470

Phone(571) 451-7470

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 13, 2024

Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1063255560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95034991

1906 S PALM GROVE AVE, Los Angeles, CA 90016

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Secondary Practice Locations 2

Location 11113 Alta Ave Ste 106Upland, CA 91786-2803 · Phone (909) 353-2947 · Fax (909) 232-9041

Location 22409 N Sepulveda Blvd Ste 205Manhattan Beach, CA 90266-2946 · Phone (909) 353-2947 · Fax (909) 232-9041

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294214276

PECOS Enrollment IDI20260210001554

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kevin Lee's NPI number?

The NPI number for Kevin Lee is 1063255560. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Kevin Lee located?

Kevin Lee practices at 1906 S Palm Grove Ave, Los Angeles, CA 90016. The listed phone number is (571) 451-7470.

What is Kevin Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kevin Lee enrolled in Medicare?

Yes. Kevin Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Lee was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.