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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONNERY LEE FNP
NPI 1124294145
Registered Nurse - Psychiatric/Mental Health in Hawaiian Gardens, CA

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
21520 PIONEER BLVD STE 110, HAWAIIAN GARDENS, CA 90716(562) 865-3644(562) 924-3860 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Feb 28, 2022 (2 updates tracked since 2022).

About Connery Lee Fnp NPPES

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

CONNERY LEE FNP (NPI 1124294145) is an individual psychiatric/mental health provider in Hawaiian Gardens, California, licensed in California (17357) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Garden Grove, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124294145
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameCONNERY LEECredential: FNP
Location Address21520 PIONEER BLVD STE 110Hawaiian Gardens, CA 90716-2604
Mailing Address21520 Pioneer Blvd Ste 110Hawaiian Gardens, CA 90716-2604 · (562) 865-3644 · Fax (562) 924-3860
Phone(562) 865-3644
Fax(562) 924-3860
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 30, 2008
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1124294145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 17357
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 17357 (CA)
21520 PIONEER BLVD STE 110, Hawaiian Gardens, CA 90716
Open in Google Maps ↗

Secondary Practice Location 1

Location 17761 Garden Grove BlvdGarden Grove, CA 92841-4200 · Phone (714) 898-8888 ext. 132 · Fax (714) 901-7580

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Connery Lee Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901951615
PECOS Enrollment IDI20090902000140
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Connery Lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nhan Hoa Comprenesive Health Care Clinic Inc.
6.3 mi
Federally Qualified Health Center (FQHC)
7761 GARDEN GROVE BLVD.
Garden Grove, CA 92841
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1497889158 (714) 898-8888
College Community Services
7.1 mi
Community/Behavioral Health
631 S BROOKHURST ST STE 104
Anaheim, CA 92804
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1841335692 (714) 620-8131
Brainhealth Solutions, Inc.
16 mi
Psychiatry
3151 AIRWAY AVE BLDG R
Costa Mesa, CA 92626
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1649815267 (949) 288-5377
County Of Kern
115 mi
Adult Mental Health
2300 S UNION AVE
Bakersfield, CA 93307
  • Reassigned Medicare billing, California enrollment
  • 213 clinicians in this Medicare group
NPI 1467653253 (661) 868-6175

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
65 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROSALYNDA SAUCEDO B.A, SLPA
Marriage & Family Therapist
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 865-3644
MICHELLE MENDOZA CASTILLO LCSW
Social Worker (Clinical)
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 865-3644
MARCELA AVILA
Marriage & Family Therapist
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 865-3644
LUIS ENRIQUE GRACIANO
Marriage & Family Therapist
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 754-3997
YANET R. GAMBOA
Marriage & Family Therapist
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 865-3644
JESSIE CECILIA ORDAZ MA
Marriage & Family Therapist
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 865-3644
ANA SOFIA CERVANTES ACSW
Counselor (Mental Health)
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 754-0200
MISS PAOLA CAMACHO-UNDA
Community Health Worker
21520 PIONEER BLVD STE 110
HAWAIIAN GARDENS, CA 90716
Los Angeles County (562) 246-5700

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 Connery Lee's NPI number?

The NPI number for Connery Lee is 1124294145. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Connery Lee located?

Connery Lee practices at 21520 Pioneer Blvd Ste 110, Hawaiian Gardens, CA 90716. The listed phone number is (562) 865-3644.

What is Connery Lee's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Connery Lee enrolled in Medicare?

Yes. Connery Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Connery Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connery Lee reassigns Medicare benefits to 4 organizations: Nhan Hoa Comprenesive Health Care Clinic Inc. (Garden Grove, CA), College Community Services (Anaheim, CA), Brainhealth Solutions, Inc. (Costa Mesa, CA) and County Of Kern (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connery Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connery Lee was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.