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Active NPI 1467941401 Individual Practitioner Female Practitioner

Jaewon Lee , NP

Nurse Practitioner • Tustin, CA

Professional Overview & Biography Verified Profile Summary

Jaewon Lee, NP is a registered healthcare professional specializing in Nurse Practitioner in Tustin, CA. Practice services are available at 661 W 1ST ST STE G under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for new patient with low level of medical decision making, per day, if using time, at least, new patient home visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

661 W 1st St Ste G

Tustin, CA 927802939

Telephone 7146659890
Fax 7146659891
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Tustin, CA (8378 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
15 12 $375.00 $117.00
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
14 14 $375.00 $69.88
99343 New patient home visit, typically 45 minutes
12 12 $375.00 $113.30

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA NP95008747

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

9918 Katella Ave Ste A-C

Anaheim, CA 928046465

Phone: 7146449494

11180 Warner Ave Ste 353

Fountain Valley, CA 927087516

Phone: 7149686789

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Noche , NP

Nurse Practitioner - Women's Health

NPI 1003400524

Nurse Practitioner

Crystal Martin , PA

Physician Assistant

NPI 1003577768

Physician Assistant

Eileen Gomez , NP

Nurse Practitioner - Family

NPI 1013704568

Nurse Practitioner

Dr. Robert Borrowdale , MD

Obstetrics & Gynecology

NPI 1013958545

Doctor of Medicine (M.D.)

Carlos Guerrero , PA-C

Physician Assistant

NPI 1023026523

Physician Assistant (Certified)

Leslie Espinoza , LCSW

Social Worker - Clinical

NPI 1023485299

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address October 22, 2025

Registered at 661 W 1ST ST STE G, TUSTIN, CA 927802939 (Tel: 7146659890)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Nurse Practitioner (License #NP95008747 in CA)

📍
Updated Business Mailing Address May 21, 2025

Registered at 71 PURPLE JASMINE, IRVINE, CA 926203377 (Tel: 7143090062)

📍
Updated Practice Location March 16, 2023

Registered at 661 W 1ST ST STE G, TUSTIN, CA 927802939 (Tel: 7146659890)

NPI Profile Active May 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2018

Registered at 4477 W 118TH ST STE 409, HAWTHORNE, CA 902502259 (Tel: 3102190647)

📍
Updated Business Mailing Address May 04, 2018

Registered at 4477 W 118TH ST STE 409, HAWTHORNE, CA 902502259 (Tel: 3102190647)

👤
Provider Name / Credentials Updated May 04, 2018

Recorded as JAEWON LEE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2018

Nurse Practitioner (License #95008747 in CA)

🟢
Initial NPI Registration & Enumeration May 04, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467941401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2018
Last Update: October 22, 2025
Sole Proprietor: No

Mailing Address

661 W 1st St Ste G

Tustin, CA 927802939

Phone: 7146659890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.