Kevin Lee
NPI 1063255560 · Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Lee is a Psychiatric/Mental Health Nurse Practitioner provider in Los Angeles, CA (NPI 1063255560).
Provider details
- NPI number
- 1063255560
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95034991 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2409 N Sepulveda Blvd Ste 205Manhattan Beach, CA 90266-2946Phone: (909) 353-2947Fax: (909) 232-9041
- 1113 Alta Ave Ste 106Upland, CA 91786-2803Phone: (909) 353-2947Fax: (909) 232-9041
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Kevin Lee's NPI number?
- Kevin Lee's National Provider Identifier (NPI) is 1063255560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Lee's specialty?
- Kevin Lee is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Lee located?
- Kevin Lee's practice location on file with NPPES is 1906 S Palm Grove Ave, Los Angeles, CA 90016-1630.
- What is Kevin Lee's phone number?
- The practice phone number listed in the NPPES registry for Kevin Lee is (571) 451-7470.
- Does Kevin Lee accept Medicare?
- Kevin Lee is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Lee's NPI active?
- Yes — Kevin Lee's NPI (1063255560) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.