Active NPI
Maria Ivonne Lee, N.P.
- Medical-Surgical Registered Nurse
- San Francisco, CA
National Provider Identifier
1114996436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 418256
- Practice address
- 961 Lombard St
San Francisco, CA 94133-2217 - Phone
- (415) 221-4810
- Fax
- (415) 379-5512
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 418256 | CA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 8058 | CA |
Addresses
Primary practice location
961 Lombard St
San Francisco, CA 94133-2217
Mailing address
961 Lombard St
San Francisco, CA 94133-2217
Phone (415) 221-4810
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418256 | CA | MD | Medical-Surgical Registered Nurse |
| 8058 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114996436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 LOMBARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941332217",
"telephone_number": "415-221-4810",
"fax_number": "415-379-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 LOMBARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941332217",
"telephone_number": "415-221-4810",
"fax_number": "415-379-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MARIA",
"middle_name": "IVONNE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "418256",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "8058",
"primary": false
}
],
"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 Sep 11, 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.