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MRS. GRACE JIN LEE P.A.-C
NPI 1912961038
Physician Assistant - Surgical in Fullerton, CA

Active since April 14, 2006PECOS Enrolled
1950 SUNNY CREST DR, SUITE 2600, FULLERTON, CA 92835(714) 446-5260(714) 446-5265 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 21, 2024, Dec 1, 2021 (2 updates tracked since 2021).

About Mrs. Grace Jin Lee P.a.-c NPPES

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

MRS. GRACE JIN LEE P.A.-C (NPI 1912961038) is an individual surgical provider in Fullerton, California, licensed in California (PA16726) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912961038
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. GRACE JIN LEECredential: P.A.-C
Location Address1950 SUNNY CREST DR, SUITE 2600Fullerton, CA 92835-3638
Mailing Address1950 Sunny Crest Dr, Suite 2600Fullerton, CA 92835-3638 · (714) 446-5260 · Fax (714) 446-5265
Phone(714) 446-5260
Fax(714) 446-5265
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1912961038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA16726
1950 SUNNY CREST DR, Fullerton, CA 92835
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G471930CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Grace Jin Lee P.a.-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 5

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

MS. LA CRYSTAL L. FULLER RNP, RNFA
Nurse Practitioner (Psychiatric/Mental Health)
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Orange County (714) 992-5350
PATRICK SU D.O.
Internal Medicine
1950 SUNNY CREST DR
FULLERTON, CA 92835
Orange County (714) 992-3969
DR. CHRISTINA M BORSARI MD
Obstetrics & Gynecology
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Orange County (714) 992-5350
MEDICAL CENTER FOR WOMEN
Obstetrics & Gynecology
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Orange County (714) 992-5350
DR. ROGER E SCHLESINGER MD
Obstetrics & Gynecology (Gynecologic Oncology)
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Orange County (714) 992-5350

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 Grace Lee's NPI number?

The NPI number for Grace Lee is 1912961038. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Grace Lee located?

Grace Lee practices at 1950 Sunny Crest Dr Suite 2600, Fullerton, CA 92835. The listed phone number is (714) 446-5260.

What is Grace Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Grace Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Lee was last updated on June 21, 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.