Active NPI
Patricia W Lee, MD
- Surgery Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A102563
- Practice address
- 2450 Samaritan Dr
#1
San Jose, CA 95124-3912 - Phone
- (408) 358-1855
- Fax
- (408) 356-4183
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD33189 | DC | |
| Surgery Physician | 208600000X | 61138838 | WA | |
| Surgical Critical Care Physician | 2086S0102X | D0066631 | MD | |
| Surgery Physician | 208600000X | A102563 | CA | Primary |
Addresses
Primary practice location
2450 Samaritan Dr
#1
San Jose, CA 95124-3912
Mailing address
2450 Samaritan Dr Ste 1
San Jose, CA 95124-3912
Phone (408) 358-1855
Other practice location 1
502 W 4th Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105
Other practice location 2
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19460039 | Other | DC | CARFISRT BCBS |
| AY109Z | Other | CA | MEDICARE PTAN |
| 413363301 | Medicaid | MD | |
| 61543001 | Other | MD | CAREFIRST BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1500
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 537-1234
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000
2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000
280 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000
700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000
710 Lawrence Express Way
Santa Clara, CA 95051-5173
Phone (408) 851-1000
901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500
Hospital & facility affiliations
- Eden Medical Center
- Kaiser Foundation Hospital-Santa Clara
- Kaiser Foundation Hospital-San Jose
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102563 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| A102563 | CA | MD | Surgery Physician |
| 61138838 | WA | MD | Surgery Physician |
| D0066631 | MD | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Surgery | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Surgery | Current | Accepting new patients |
| Permanente Medical Group Inc | Surgery | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Premier Physician Group, LLC | Surgery | Past | Accepting new patients |
| Intensimed, LLC | Past | Accepting new patients |
Locations
751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
Interoperability endpoints
- plee228114@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
Surgery, WA
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Critical Care Medicine (Internal Medicine) Physician
- Bethesda, MD
- NPI 1801854088
-
- Surgery Physician
- Bethesda, MD
- NPI 1801064704
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063582989
-
- General Acute Care Hospital
- Santa Clara, CA
- NPI 1326119967
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1073724712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SAMARITAN DR STE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243912",
"telephone_number": "408-358-1855",
"fax_number": "408-356-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SAMARITAN DR",
"address_2": "#1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243912",
"telephone_number": "408-358-1855",
"fax_number": "408-356-4183"
}
],
"practiceLocations": [
{
"address_1": "502 W 4th Ave",
"address_purpose": "LOCATION",
"city": "Toppenish",
"state": "WA",
"postal_code": "989481616",
"country_code": "US",
"telephone_number": "509-865-3105",
"fax_number": "866-368-6349",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1016 Tacoma Ave",
"address_purpose": "LOCATION",
"city": "Sunnyside",
"state": "WA",
"postal_code": "989442263",
"country_code": "US",
"telephone_number": "509-837-1500",
"fax_number": "866-368-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "PATRICIA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DC",
"license": "MD33189",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "61138838",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MD",
"license": "D0066631",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A102563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARFISRT BCBS",
"identifier": "19460039",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AY109Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413363301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "61543001",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "700 Lawrence Express Way",
"city": "Santa Clara",
"state": "CA",
"country_code": "US",
"postal_code": "95051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.