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TAE KYUNG LEE PA-C
NPI 1609573658
Physician Assistant in Anaheim, CA

Active since February 09, 2023PECOS Enrolled
1211 W LA PALMA AVE STE 101, ANAHEIM, CA 92801(714) 527-7000 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae Kyung Lee Pa-c NPPES

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

TAE KYUNG LEE PA-C (NPI 1609573658) is an individual physician assistant in Anaheim, California, licensed in California (PA62289) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609573658
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAE KYUNG LEECredential: PA-C
Location Address1211 W LA PALMA AVE STE 101Anaheim, CA 92801-2809
Mailing Address1211 W La Palma Ave Ste 101Anaheim, CA 92801-2809 · (714) 527-7000
Phone(714) 527-7000
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1609573658 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 · PA62289
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.
1211 W LA PALMA AVE STE 101, Anaheim, CA 92801
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Other Names 1

Other Name (5)Terry Lee Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae Kyung Lee Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92801 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 2

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

MR. HARISHCHANDRA N PATEL MD
Internal Medicine (Cardiovascular Disease)
1211 W LA PALMA AVE STE 101
ANAHEIM, CA 92801
Orange County (714) 527-7000
HARISHCHANDRA N PATEL MD INC
Internal Medicine (Cardiovascular Disease)
1211 W LA PALMA AVE STE 101
ANAHEIM, CA 92801
Orange County (714) 527-7000

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 Tae Kyung Lee's NPI number?

The NPI number for Tae Kyung Lee is 1609573658. It was assigned to this individual provider in the NPPES registry on February 9, 2023. The provider is also known as Terry Lee Pa-C.

Where is Tae Kyung Lee located?

Tae Kyung Lee practices at 1211 W La Palma Ave Ste 101, Anaheim, CA 92801. The listed phone number is (714) 527-7000.

What is Tae Kyung Lee's specialty?

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

Is Tae Kyung Lee enrolled in Medicare?

Yes. Tae Kyung Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tae Kyung Lee was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.