SERRA JONGHAE LEE NP
NPI 1982342432
Nurse Practitioner - Gerontology in Gardena, CA

Active since May 24, 2022PECOS Enrolled
14111 VAN NESS AVE # 5, GARDENA, CA 90249(142) 439-6341(424) 396-3427 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, May 24, 2022 (2 updates tracked since 2022).

About Serra Jonghae Lee Np NPPES

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

SERRA JONGHAE LEE NP (NPI 1982342432) is an individual gerontology provider in Gardena, California, licensed in California (NP95018002) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982342432
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSERRA JONGHAE LEECredential: NP
Location Address14111 VAN NESS AVE # 5Gardena, CA 90249-2950
Mailing Address14111 Van Ness Ave # 5Gardena, CA 90249-2950 · (142) 439-6341 · Fax (424) 396-3427
Fax(424) 396-3427
Sole ProprietorYes
Enumeration DateMay 24, 2022
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
NPI 1982342432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · NP95018002
14111 VAN NESS AVE # 5, Gardena, CA 90249

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Serra Jonghae Lee Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90249 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.

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 Serra Lee's NPI number?

The NPI number for Serra Lee is 1982342432. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Serra Lee located?

Serra Lee practices at 14111 Van Ness Ave # 5, Gardena, CA 90249. The listed phone number is (142) 439-6341.

What is Serra Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Serra Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Serra Lee was last updated on May 7, 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.