Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivian Lee, PA

Individual provider Physician Assistant · NPI 1558943555

Vivian Lee, PA is a Physician Assistant in San Diego, California. Graduated from University of Utah School of Medicine in 2023, 3 years ago. Practices with Herald Christian Health Center, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Trained at
University of Utah School of Medicine
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4320 Genesee Ave Ste 103
San Diego, CA 92117-4900
Phone: (858) 598-6789
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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 PA63266 (CA)

Record details

NPI number1558943555
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Herald Christian Health Center — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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