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MELISSA LEE
NPI 1639673213
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2018PECOS Enrolled
1200 NORTH STATE STREET, CTA7D, LOS ANGELES, CA 90033(323) 409-5707 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2024, Mar 20, 2018 (2 updates tracked since 2018).

About Melissa Lee NPPES

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

MELISSA LEE (NPI 1639673213) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2018).

NPPES Registry Identity

NPI1639673213
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELISSA LEE
Location Address1200 NORTH STATE STREET, CTA7DLos Angeles, CA 90033
Mailing Address1200 North State Street, Cta7dLos Angeles, CA 90033
Phone(323) 409-5707
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
✔ NPI 1639673213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 NORTH STATE STREET, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668960162
PECOS Enrollment IDI20251024001907
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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
310 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

DR. AMIN TAVAKOLI MD
Student in an Organized Health Care Education/Training Program
1200 NORTH STATE STREET, INPATIENT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8848
MARGARET MIREKUA NKANSAH MD
Pediatrics
1200 NORTH STATE STREET, CTA7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5707
EMI JEAN FUMIKO KOMATSU MD
Student in an Organized Health Care Education/Training Program
1200 NORTH STATE STREET, IPT C3F107
LOS ANGELES, CA 90033
Los Angeles County (310) 872-0301
MICHAEL SADIGHIAN
Student in an Organized Health Care Education/Training Program
1200 NORTH STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3716
EUN JUNG HILAIRE MD
Pediatrics
1200 NORTH STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (310) 713-5731
WAQAR ZUBERI
Psychiatry & Neurology (Psychiatry)
1200 NORTH STATE STREET, C&T TOWER A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-4942
AMIR MOHAMMAD SOLTANI-TEHRANI MD
Student in an Organized Health Care Education/Training Program
1200 NORTH STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (930) 215-6503
DR. NOVARRO CHAMELEON STAFFORD SR. M.D.
General Acute Care Hospital
1200 NORTH STATE STREET
LOS ANGELES, CA 90033
Los Angeles County (323) 409-4597

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 Melissa Lee's NPI number?

The NPI number for Melissa Lee is 1639673213. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Melissa Lee located?

Melissa Lee practices at 1200 North State Street Cta7d, Los Angeles, CA 90033. The listed phone number is (323) 409-5707.

What is Melissa Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melissa Lee enrolled in Medicare?

Yes. Melissa Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Lee reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Melissa 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 Melissa Lee was last updated on April 30, 2024. 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.