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JI YOUN LEE
NPI 1912435553
Nurse Practitioner - Primary Care in Los Angeles, CA

Active since May 26, 2017PECOS Enrolled
501 S OXFORD AVE APT 17, LOS ANGELES, CA 90020(213) 505-7667 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Ji Youn Lee NPPES

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

JI YOUN LEE (NPI 1912435553) is an individual primary care provider in Los Angeles, California, licensed in California (95006184) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912435553
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJI YOUN LEE
Location Address501 S OXFORD AVE APT 17Los Angeles, CA 90020-4228
Mailing Address501 S Oxford Ave Apt 17Los Angeles, CA 90020-4228 · (213) 505-7667
Phone(213) 505-7667
Sole ProprietorYes
Enumeration DateMay 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1912435553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95006184
501 S OXFORD AVE APT 17, Los Angeles, CA 90020
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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)

Ji Youn Lee 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.

Medicare Billing Reassignment

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

Kwang He Won Health Center
0.6 mi
Community Health
815 S. ARDMORE AVE 1ST FLOOR
Los Angeles, CA 90005
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1699232454 (213) 385-0448

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90020 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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

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

CAREHOME DOCTORS, INC
Skilled Nursing Facility
501 S OXFORD AVE APT 17
LOS ANGELES, CA 90020
Los Angeles County (213) 505-7667

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 Ji Youn Lee's NPI number?

The NPI number for Ji Youn Lee is 1912435553. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Ji Youn Lee located?

Ji Youn Lee practices at 501 S Oxford Ave Apt 17, Los Angeles, CA 90020. The listed phone number is (213) 505-7667.

What is Ji Youn Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ji Youn Lee enrolled in Medicare?

Yes. Ji Youn Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ji Youn Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ji Youn Lee reassigns Medicare benefits to Kwang He Won Health Center (Los Angeles, 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 Ji Youn 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 Ji Youn Lee was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.