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ELIZABETH SOOBIN LEE
NPI 1649904442
Physician Assistant in Los Angeles, CA

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
1414 S GRAND AVE STE 380, LOS ANGELES, CA 90015(213) 745-6047 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2024, Jul 15, 2022 (2 updates tracked since 2022).

About Elizabeth Soobin Lee NPPES

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

ELIZABETH SOOBIN LEE (NPI 1649904442) is an individual physician assistant in Los Angeles, California, licensed in California (PA64578) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649904442
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH SOOBIN LEE
Location Address1414 S GRAND AVE STE 380Los Angeles, CA 90015-3072
Mailing Address1513 Camden PlFullerton, CA 92833-2049
Phone(213) 745-6047
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2022
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1649904442 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 · PA64578
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.
1414 S GRAND AVE STE 380, Los Angeles, CA 90015
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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

Elizabeth Soobin Lee 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 ID4082155254
PECOS Enrollment IDI20240916003258
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 90015 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 11

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

NATALIE CHANEL HOUSER PA-C
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARTHA MATEO LCSW
Social Worker (Clinical)
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
DR. KAMI ADIBI M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (310) 717-5777
MS. ELSA MARIA HARTWICK M.D.
Internal Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
ELIZABETH LOPEZ ESCOBAR
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
NOLASCO CRISTOBAL M.D
Pediatrics
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
DR. RENE JOUVANNI TRABANINO M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
DR. GAILA MAUREEN KENNEALLY DO
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000

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 Elizabeth Lee's NPI number?

The NPI number for Elizabeth Lee is 1649904442. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Elizabeth Lee located?

Elizabeth Lee practices at 1414 S Grand Ave Ste 380, Los Angeles, CA 90015. The listed phone number is (213) 745-6047.

What is Elizabeth Lee's specialty?

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

Is Elizabeth Lee enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Lee was last updated on September 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.