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MS. LESETTE D WITHERSPOON PA-C
NPI 1861590804
Physician Assistant - Medical in Torrance, CA

Active since September 21, 2006PECOS Enrolled
19401 S VERMONT AVE, BLDG L-100, TORRANCE, CA 90502(310) 324-5777(310) 324-6245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lesette D Witherspoon Pa-c NPPES

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

MS. LESETTE D WITHERSPOON PA-C (NPI 1861590804) is an individual medical provider in Torrance, California, licensed in California (PA11614) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861590804
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LESETTE D WITHERSPOONCredential: PA-C
Location Address19401 S VERMONT AVE, BLDG L-100Torrance, CA 90502-1029
Mailing Address401 W 220th St Unit 43Carson, CA 90745-2865 · (310) 324-5777 · Fax (310) 324-6245
Phone(310) 324-5777
Fax(310) 324-6245
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861590804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA11614
19401 S VERMONT AVE, Torrance, CA 90502
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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 (PECOS)

Ms. Lesette D Witherspoon 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.

Other Providers at the Same Location NPPES 20

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

STEPHANIE HOFFMAN MA
Occupational Therapist
19401 S VERMONT AVE, SUITE A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
LEONEL LOPEZ
Case Manager/Care Coordinator
19401 S VERMONT AVE, SUITE A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
MARSI MIYASHITA
Case Manager/Care Coordinator
19401 S VERMONT AVE, STE A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
SAMANTHA A TALAVERA
Student in an Organized Health Care Education/Training Program
19401 S VERMONT AVE, A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
STEPHANIE MARSHALL
Student in an Organized Health Care Education/Training Program
19401 S VERMONT AVE, STE L102
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
DANA GRANADO
Occupational Therapist
19401 S VERMONT AVE, SUITE A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
JASON HILLIADO
Student in an Organized Health Care Education/Training Program
19401 S VERMONT AVE, A-200
TORRANCE, CA 90502
Los Angeles County (310) 323-6887
KAITLIN ROSELLA STAHL KEARNEY
Student in an Organized Health Care Education/Training Program
19401 S VERMONT AVE
TORRANCE, CA 90502
Los Angeles County (310) 323-6887

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 Lesette Witherspoon's NPI number?

The NPI number for Lesette Witherspoon is 1861590804. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Lesette Witherspoon located?

Lesette Witherspoon practices at 19401 S Vermont Ave Bldg L-100, Torrance, CA 90502. The listed phone number is (310) 324-5777.

What is Lesette Witherspoon's specialty?

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

Is Lesette Witherspoon enrolled in Medicare?

Yes. Lesette Witherspoon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lesette Witherspoon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.