LEA MARIE PACE PA
NPI 1710211180
Physician Assistant - Medical in San Diego, CA

Active since October 01, 2009Opted out of Medicare · through Jul 1, 2027
4452 PARK BLVD STE 306, SAN DIEGO, CA 92116(619) 206-4232 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Jul 10, 2024, Jun 7, 2024 and 3 more (6 updates tracked since 2018).

About Lea Marie Pace Pa NPPES

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

LEA MARIE PACE PA (NPI 1710211180) is an individual medical provider in San Diego, California, licensed in California (PA21171) and active in the NPI registry since October 2009. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710211180
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLEA MARIE PACECredential: PA
Location Address4452 PARK BLVD STE 306San Diego, CA 92116-4049
Mailing Address4452 Park Blvd Ste 306San Diego, CA 92116-4049 · (619) 206-4232 · Fax (833) 972-5097
Sole ProprietorNo
Enumeration DateOctober 1, 2009
Last NPPES UpdateNovember 15, 20246 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1710211180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21171
Also ListedPhysician AssistantTaxonomy 363A00000X · License 10001128A (IN)
4452 PARK BLVD STE 306, San Diego, CA 92116

Other Names 1

Former Name (1)Lea Marie Dunn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lea Marie Pace Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$25.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Health Service)
4452 PARK BLVD STE 306
SAN DIEGO, CA 92116

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 Lea Pace's NPI number?

The NPI number for Lea Pace is 1710211180. It was assigned to this individual provider in the NPPES registry on October 1, 2009. The provider is also known as Lea Marie Dunn.

Where is Lea Pace located?

Lea Pace practices at 4452 Park Blvd Ste 306, San Diego, CA 92116. The listed phone number is (619) 206-4232.

What is Lea Pace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lea Pace enrolled in Medicare?

No. Lea Pace has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lea Pace was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.