Organization Active NPI

Carol K. Lee, MD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1093106569
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G62717 Issued in CA
Legal business name
CAROL K. LEE, MD
Practice address
1518 Noriega St
Ste 200
San Francisco, CA 94122-4434
Phone
(415) 566-7556
Fax
(415) 566-8486
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol K Lee, M.D.
Title
Pediatrician
Phone
(415) 566-7556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G62717 CA Primary

Addresses

Primary practice location

1518 Noriega St
Ste 200
San Francisco, CA 94122-4434

Mailing address

1518 Noriega St
Ste 200
San Francisco, CA 94122-4434
Phone (415) 566-7556

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0689064Carol K Lee MD1518 Noriega St 200, San Francisco, CA 94122Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1518 Noriega St
Ste 200
San Francisco, CA 94122
Phone (415) 566-7556

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1093106569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 NORIEGA ST",
            "address_2": "STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224434",
            "telephone_number": "415-566-7556",
            "fax_number": "415-566-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 NORIEGA ST",
            "address_2": "STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224434",
            "telephone_number": "415-566-7556",
            "fax_number": "415-566-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL K. LEE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "415-566-7556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G62717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.