Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ji Eun Lee, PA-C

Individual provider Medical Physician Assistant · NPI 1710654587

Ji Eun Lee, PA-C is a Physician Assistant in Santa Clara, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone: (408) 315-2356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59700 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 59700 (CA)

Record details

NPI number1710654587
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Clara