KWANG YEON CAROL LEE
NPI 1164022448
Nurse Practitioner - Acute Care in Orange, CA
About Kwang Yeon Carol Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KWANG YEON CAROL LEE (NPI 1164022448) is an individual acute care provider in Orange, California, licensed in California (95015771) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kwang Yeon Carol Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kwang Yeon Carol Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 420 clinicians in this Medicare group
Downey, CA 90241
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Kwang Yeon Carol Lee's NPI number?
The NPI number for Kwang Yeon Carol Lee is 1164022448. It was assigned to this individual provider in the NPPES registry on October 27, 2020.
Where is Kwang Yeon Carol Lee located?
Kwang Yeon Carol Lee practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 880-7812.
What is Kwang Yeon Carol Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kwang Yeon Carol Lee enrolled in Medicare?
Yes. Kwang Yeon Carol Lee is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kwang Yeon Carol Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kwang Yeon Carol Lee reassigns Medicare benefits to 2 organizations: Regents Of The University Of (Orange, CA) and Kaushal R Tamboli MD Inc (Downey, 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 Kwang Yeon Carol 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 Kwang Yeon Carol Lee was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Kwang Yeon Carol Lee · NPI 1164022448
Acute Care physician in Orange, California. Individual provider, active in the CMS NPPES registry since October 27, 2020.
## Identity
- **NPI:** 1164022448 (Entity type: Individual)
- **Enumerated:** October 27, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95015771 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3298
- **Phone:** (714) 880-7812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of (NPI 1487602546, Orange, CA); Kaushal R Tamboli MD Inc (NPI 1881756492, Downey, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164022448) · Data from the CMS NPPES public registry.