Active NPI
Sun Hi Lee, MD
- Pediatrics Physician
- Bakersfield, CA
National Provider Identifier
1144397852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A38521
- Practice address
- 2317 17TH Street
Bakersfield, CA 93301-3503 - Phone
- (661) 323-5484
- Fax
- (661) 323-9160
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A38521 | CA | Primary |
Addresses
Primary practice location
2317 17TH Street
Bakersfield, CA 93301-3503
Mailing address
2317 17TH Street
Bakersfield, CA 93301-3503
Phone (661) 323-5484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5784017 | Other | CA | PIN |
| 00A38521 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324001736 | CA | Order and Referring Only - Pediatric Medicine | 8729219399 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38521 | CA | MD | Pediatrics Physician |
| 38521 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144397852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 17TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013503",
"telephone_number": "661-323-5484",
"fax_number": "661-323-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 17TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013503",
"telephone_number": "661-323-5484",
"fax_number": "661-323-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUN",
"middle_name": "HI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A38521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "5784017",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A38521",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.