Active NPI
Stephen S Lee, M.D.
- Dermatology Physician
- Monterey, CA
National Provider Identifier
1205902855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A44995
- Practice address
- 284 Foam St Ste 28
Monterey, CA 93940-1486 - Phone
- (831) 372-3228
- Fax
- (831) 372-2328
- NPI assigned
- Nov 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A44995 | CA | Primary |
| Procedural Dermatology Physician | 207NS0135X | A44995 | CA | |
| Dermatopathology Physician | 207ND0900X | A44995 | CA |
Addresses
Primary practice location
284 Foam St Ste 28
Monterey, CA 93940-1486
Mailing address
284 Foam St Ste 28
Monterey, CA 93940-1486
Phone (831) 372-3228
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 |
|---|---|---|---|---|
| I20050726001077 | CA | Practitioner - Dermatology | 1557398021 | Practice locations: Gilroy, CA; Monterey, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44995 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric S Lee MD | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Monterey, CA
- NPI 1376253161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1205902855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 FOAM ST STE 28",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401486",
"telephone_number": "831-372-3228",
"fax_number": "831-372-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 FOAM ST STE 28",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401486",
"telephone_number": "831-372-3228",
"fax_number": "831-372-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STEPHEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A44995",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A44995",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "A44995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.