Derek Lee, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A19214 Issued in CA

Practice address

122 S Patterson Ave
Santa Barbara, CA 93111-2055

Phone

(805) 681-7500

NPI assigned

Jun 11, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment Care Compare group NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
  • NPI 1265458434
  Medicare reassignment NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1346066826
  NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
  • NPI 1942487848
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1174961262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-681-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S PATTERSON AVE",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112055",
            "telephone_number": "805-681-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Building 588, M/C 7002",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931067002",
            "country_code": "US",
            "telephone_number": "805-893-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEREK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A19214",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "268997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Medical Corporation
• Ann M Lee, MD
• Anna Nina Lee, MA
• Arthur Adrian Lee, M.D.
• Candace Lee
• Eunice S. Lee, M.D.
• Glen K Lee, DDS
• Katherine Lee, MD
• Michael Lee, M.D.
• Michele A Lee, O.D.

• Sports Medicine (Family Medicine) Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.

Verify at the official NPI Registry.