Individual provider Active NPI

Vera Lee, NP-C

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1215437223
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008118 Issued in CA
Practice address
2050 Clarmar Way
San Jose, CA 95128-1704
Phone
(408) 294-7551
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008118 CA Primary

Addresses

Primary practice location

2050 Clarmar Way
San Jose, CA 95128-1704

Mailing address

2050 Clarmar Way
San Jose, CA 95128-1704
Phone (408) 294-7551

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429001240 CA Practitioner - Nurse Practitioner 0244572907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Y Wang MD IncGroup PAC ID 7618213406, 15 clinicians

Practice addresses (Care Compare)

111 N Market St
Suite 1000
San Jose, CA 95113-1118
Phone (408) 581-0161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Dermatology Associates Inc CurrentSince Jan 22, 2019 Accepting new patients
Solano Dermatology Associates Inc CurrentSince Jan 22, 2019 Accepting new patients
James Y. Wang, MD, Inc. CurrentSince Aug 1, 2024 Accepting new patients
O'Connor Hospital PastSince Feb 7, 2021 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
County of Santa Clara PastSince Feb 7, 2021 Accepting new patients

Locations

480 Chadbourne Rd
Ste 102
Fairfield, CA 94534
Phone (707) 399-4500

888 S Figueroa St
Ste 1050
Los Angeles, CA 90017
Phone (213) 319-3339

111 N Market St
Ste 1000
San Jose, CA 95113
Phone (408) 581-0161

600 Nut Tree Rd
Ste 260
Vacaville, CA 95687
Phone (707) 259-1800

2290 Sacramento St
Vallejo, CA 94590
Phone (707) 643-5785

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1215437223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CLARMAR WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281704",
            "telephone_number": "408-294-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLARMAR WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281704",
            "telephone_number": "408-294-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "VERA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.