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MAI DER LEE
NPI 1124964986
Physician Assistant - Medical in Fresno, CA

Active since April 24, 2026
4871 E KINGS CANYON RD, FRESNO, CA 93727(559) 390-0963 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Apr 24, 2026 (2 updates tracked since 2026).

About Mai Der Lee NPPES

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

MAI DER LEE (NPI 1124964986) is an individual medical provider in Fresno, California and active in the NPI registry since April 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124964986
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMAI DER LEE
Location Address4871 E KINGS CANYON RDFresno, CA 93727-3811
Mailing Address4855 E Cesar Chavez BlvdFresno, CA 93727-3811 · (559) 390-0963
Phone(559) 390-0963
Sole ProprietorYes
Enumeration DateApril 24, 2026
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1124964986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4871 E KINGS CANYON RD, Fresno, CA 93727
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Secondary Practice Locations 2

Location 14855 E Kings Canyon RdFresno, CA 93727-3811 · Phone (559) 390-0963
Location 24879 E Kings Canyon RdFresno, CA 93727-3811 · Phone (559) 255-8395

Other Providers at the Same Location NPPES 15

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

MAI XAE YANG
Marriage & Family Therapist
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 390-0963
THE FRESNO CENTER
Marriage & Family Therapist
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
JOSHUA THAO
Counselor (Mental Health)
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
MAI KOU HER
Community Health Worker
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
MAY VANG BSW
Case Manager/Care Coordinator
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395
CHAI LEE
Counselor (Mental Health)
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (055) 925-5839
MAI GE XIONG
Day Training/Habilitation Specialist
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 250-0605
PANGYIA YANG
Community Health Worker
4871 E KINGS CANYON RD
FRESNO, CA 93727
Fresno County (559) 255-8395

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 Mai Der Lee's NPI number?

The NPI number for Mai Der Lee is 1124964986. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Where is Mai Der Lee located?

Mai Der Lee practices at 4871 E Kings Canyon Rd, Fresno, CA 93727. The listed phone number is (559) 390-0963.

What is Mai Der Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mai Der Lee was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.