BRANDON LEE – Certified Registered Nurse Anesthetist, NPI 1013299825

BRANDON LEE is a healthcare provider. based in Los angeles, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4084 (CA). The NPI Number for BRANDON LEE is 1013299825

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON LEE
NPI
1013299825
Phone
Not provided
Address
2090 S HARVARD BLVD
Enumeration Date
16 September 2011
Last Update Date
16 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5595829000
Graduation Year
2011 (15 years ago)
PAC ID
9436326311
Group Practice PAC ID
6002975489
Professional Enrollment ID
I20120117000604
Address ID
CA932305786HA115XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for BRANDON LEE

  • 2090 S HARVARD BLVD

    LOS ANGELES, CA 900181615

    Phone:

    Type: Mailing

  • 1401 S GRAND AVE

    LOS ANGELES, CA 900153010

    Phone: (213) 748-2411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120117000604ICertified Registered Nurse Anesthetist (Crna)CATBD
I20230727001693ICertified Registered Nurse Anesthetist (Crna)TNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90018)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002975489View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA
A N E S T H E S I O L O G YCA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRANDON LEE?
BRANDON LEE — NPI 1013299825 — is the standard way to identify this listing.
Can I rely on BRANDON LEE being an active provider?
As of the registry snapshot, BRANDON LEE is marked active.
What is BRANDON LEE best known for clinically?
Directory data describes BRANDON LEE with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect BRANDON LEE on a map?
Expect Los Angeles, California as a primary anchor for BRANDON LEE unless the record lists multiple sites.
Why does BRANDON LEE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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