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VIVIAN LEE PA
NPI 1558943555
Physician Assistant in San Diego, CA

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
4320 GENESEE AVE STE 103, SAN DIEGO, CA 92117(858) 598-6789 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, Apr 28, 2021 (2 updates tracked since 2021).

About Vivian Lee Pa NPPES

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

VIVIAN LEE PA (NPI 1558943555) is an individual physician assistant in San Diego, California, licensed in California (PA63266) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2023).

NPPES Registry Identity

NPI1558943555
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVIVIAN LEECredential: PA
Location Address4320 GENESEE AVE STE 103San Diego, CA 92117-4900
Mailing Address4320 Genesee Ave Ste 103San Diego, CA 92117-4900 · (858) 598-6789
Phone(858) 598-6789
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2023
Enumeration DateApril 28, 2021
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1558943555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA63266
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4320 GENESEE AVE STE 103, San Diego, CA 92117
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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

Vivian Lee Pa 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 ID6709235526
PECOS Enrollment IDI20231205003310
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 92117 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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

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

JIEYI ZHUANG DDS
Dentist (General Practice)
4320 GENESEE AVE STE 103
SAN DIEGO, CA 92117
San Diego County (858) 598-6789

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 Vivian Lee's NPI number?

The NPI number for Vivian Lee is 1558943555. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Vivian Lee located?

Vivian Lee practices at 4320 Genesee Ave Ste 103, San Diego, CA 92117. The listed phone number is (858) 598-6789.

What is Vivian Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vivian Lee enrolled in Medicare?

Yes. Vivian 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 Vivian Lee was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.