ELLEN KYUNGCHAE LEE (NPI# 1962046714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962046714 |
| Entity Type | Individual |
| Full Name | ELLEN KYUNGCHAE LEE |
| Credential | PA |
| Practice Address |
1495 River Park Dr Ste 200 Sacramento CA 95815-4517 |
| Mailing Address |
560 Via Codo Fullerton CA 92835-1454 |
| Practice Telephone | 9169257020 |
| Mailing Telephone | 5626195936 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Nut Tree Rd Ste 150, Vacaville, CA 956874176 | 9169257020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326406331 | Ellen Lee | Advanced Practice Midwife | 306 Stoneridge Blvd, Asheville, NC 28804-8313 | 2016-02-04 |
| 1750657607 | Ellen Hyun-ju Lee | Pediatrics | 42-09 28th Street, 6th Floor, 2 Gotham Center, Cn 22a, Long Island City, NY 11101 | 2012-03-26 |
| 1740409770 | Ellen Lee | Dentist | 9311 3rd Ave, Brooklyn, NY 11209-6801 | 2007-04-25 |
| 1023029220 | Ellen Wonsun Lee | Dentist | 2111 W Patapsco Ave, Baltimore, MD 21230-2946 | 2006-08-11 |
| 1679545446 | Ellen Lyman Lee | Family Medicine | 22 Station Ave, Suite 101, Brunswick, ME 04011-2092 | 2006-02-06 |
| 1649806928 | Ellen Lee | Pharmacist | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-18 |
| 1659910362 | Ellen Lee | Nurse Anesthetist, Certified Registered | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2019-12-27 |
| 1912358656 | Ellen Brister Lee | Dentist | 1565 S Main St, Greenville, MS 38701-7005 | 2016-06-23 |
| 1306293824 | Ellen Lee | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Suite Msb 5.196, Houston, TX 77030-1501 | 2016-05-16 |
| 1417303728 | Ellen Lee | Pharmacist | 423 E Dundee Rd, Palatine, IL 60074-2813 | 2016-05-05 |
| Street Address |
1495 RIVER PARK DR STE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376625582 | Heidi Alahn Rose | Registered Nurse | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2006-10-19 |
| 1740830595 | Emerald Elizabeth Curry | Physician Assistant | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2019-09-13 |
| 1356996110 | Sarah Diane Whalen | Physician Assistant | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2019-08-07 |
| 1518278357 | Cynthia J Chambers | Dermatology | 1495 River Park Dr Ste 200, Sacramento, CA 95815 | 2010-06-26 |
| 1811197478 | Raja Sivamani | Dermatology | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.