Individual provider Active NPI

Ji Hyun Lee, M.D.

  • Anesthesiology Physician
  • San Jose, CA
National Provider Identifier
1225318660
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C172786 Issued in CA
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3997
Phone
(408) 510-9748
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01075737A IN
Anesthesiology Physician 207L00000X C172786 CA Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3997

Mailing address

18830 Devon Ave
Saratoga, CA 95070-4606
Phone (408) 510-9748

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160608002351 IN Practitioner - Anesthesiology 8426294620 Reassigns benefits to 1 organization
I20220804001955 CA Practitioner - Anesthesiology 8426294620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C172786CAMDAnesthesiology Physician
01075737AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Apr 23, 2022 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Permanente Medical Group Inc Anesthesiology Current Accepting new patients
Iu Anesthesiology Associates, LLC Anesthesiology CurrentSince Jun 15, 2016 Accepting new patients
Permanente Medical Group Inc Anesthesiology CurrentSince Apr 23, 2022 Accepting new patients

Locations (25 of 33)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

2410 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 369-9798

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

2110 Forest Ave
San Jose, CA 95128
Phone (408) 297-3432

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1225318660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18830 DEVON AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704606",
            "telephone_number": "408-510-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243997",
            "telephone_number": "408-510-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JI HYUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01075737A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C172786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.