Active NPI
Simon Y Lee, M.D.
- Pediatrics Physician
- Pleasanton, CA
National Provider Identifier
1043229693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- CA A89711
- Practice address
- 5555 W Las Positas Blvd
Pleasanton, CA 94588-4000 - Phone
- (925) 416-3672
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | CA A89711 | CA | Primary |
Addresses
Primary practice location
5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Mailing address
5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA A89711 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| UCSF Pediatrics Associates | Pediatrics | Past | Accepting new patients |
| UCSF Medical Group Business Services | Past | Accepting new patients |
Interoperability endpoints
- slee91944@direct.whhs.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1043229693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 W LAS POSITAS BLVD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 W LAS POSITAS BLVD",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884000",
"telephone_number": "925-416-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SIMON",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "CA A89711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.