Simon Lee M D a Professional Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G83169 Issued in CA

Legal business name

SIMON LEE M D A PROFESSIONAL CORP

Practice address

950 Stockton St Ste 205
San Francisco, CA 94108-1619

Phone

(415) 837-0888

Fax

(415) 837-1328

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Simon Kwanmin Lee, MDNPI 1275532145

Title

President

Phone

(415) 837-0888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Simon Lee M D a Professional Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Simon Lee, MD, a Professional Corporation

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1891709614
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Kwanmin Lee, M.D.

  • Internal Medicine Physician
  • Burlingame, CA
  • NPI 1275532145
  Medicare reassignment NPD Authorized official
• Bryan Leo Lu, FNP

  • Family Nurse Practitioner
  • Burlingame, CA
  • NPI 1598510117
  Medicare reassignment NPD
• Alan K Tam, NP

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1154960334
  Medicare reassignment NPD
• Feifei Yang, FNP

  • Family Nurse Practitioner
  • Stanford, CA
  • NPI 1114468493
  Medicare reassignment NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1194748541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081619",
            "telephone_number": "415-837-0888",
            "fax_number": "415-837-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 STOCKTON ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081619",
            "telephone_number": "415-837-0888",
            "fax_number": "415-837-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON LEE M D A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "KWANMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-837-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Simmons
• Vanessa Simmons, PMHNP
• William F Simmons, MD
• Carolina Cain Simms, R.T.
• Ray Simnegar, PH.D.
• Simon W Lim, DDS Inc
• Alexandra Simon
• Amy Christine Simon, M.S.
• Daniel Joseph Simon, DDS
• Joel Arthur Simon, MD

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.