Active NPI
Suk Chun Lee, M.D.
- Family Medicine Physician
- Paradise, CA
National Provider Identifier
1194939660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G72585
- Practice address
- 7321 Skyway
Paradise, CA 95969 - Phone
- (530) 876-8120
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G72585 | CA | Primary |
Addresses
Primary practice location
7321 Skyway
Paradise, CA 95969
Mailing address
1354 Keller LN
Paradise, CA 95969
Phone (530) 872-0766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G725851 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72585 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194939660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 KELLER LN",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-872-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 SKYWAY",
"city": "PARADISE",
"state": "CA",
"postal_code": "95969",
"telephone_number": "530-876-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUK",
"middle_name": "CHUN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G72585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G725851",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, 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.