DR. SHANNON JIYOUNG LEE MD
NPI 1477294684
Family Medicine in Los Angeles, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
10250 SANTA MONICA BLVD STE 2440, LOS ANGELES, CA 90067(310) 286-0122 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Dr. Shannon Jiyoung Lee Md NPPES

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

DR. SHANNON JIYOUNG LEE MD (NPI 1477294684) is an individual family medicine provider in Los Angeles, California, licensed in California (A201696) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Albany Medical College Of Union University (2022).

NPPES Registry Identity

NPI1477294684
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON JIYOUNG LEECredential: MD
Location Address10250 SANTA MONICA BLVD STE 2440Los Angeles, CA 90067-6593
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
NPI 1477294684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A201696
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10250 SANTA MONICA BLVD STE 2440, Los Angeles, CA 90067

Secondary Practice Location 1

Location 11920 Colorado AveSanta Monica, CA 90404-3414 · Phone (310) 319-4700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Jiyoung Lee Md 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 ID5991173189
PECOS Enrollment IDI20250912002219
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 90067 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.

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.

Physical Therapist
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Emergency Medicine
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Family Medicine
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Physical Therapist
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Family Medicine
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Dermatology
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Dermatology
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067
Durable Medical Equipment & Medical Supplies
10250 SANTA MONICA BLVD STE 2440
LOS ANGELES, CA 90067

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 Shannon Lee's NPI number?

The NPI number for Shannon Lee is 1477294684. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Shannon Lee located?

Shannon Lee practices at 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067. The listed phone number is (310) 286-0122.

What is Shannon Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Lee enrolled in Medicare?

Yes. Shannon 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.

When was this NPI record last updated?

The NPPES record for Shannon Lee was last updated on January 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.