Active NPI
Brian Lee
- Chiropractor
- Santa Clara, CA
National Provider Identifier
1043197122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 35261
- Practice address
- 4675 Stevens Creek Blvd Ste 121
Santa Clara, CA 95051-6763 - Phone
- (408) 394-0288
- Fax
- (408) 216-9030
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 35261 | CA | Primary |
Addresses
Primary practice location
4675 Stevens Creek Blvd Ste 121
Santa Clara, CA 95051-6763
Mailing address
1883 Agnew Rd Unit 207
Santa Clara, CA 95054-4237
Phone (818) 254-5646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35261 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1043197122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1883 AGNEW RD UNIT 207",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544237",
"telephone_number": "818-254-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4675 STEVENS CREEK BLVD STE 121",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950516763",
"telephone_number": "408-394-0288",
"fax_number": "408-216-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "35261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.