Crystal Jade Lee, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

500 El Camino Real
Santa Clara, CA 95050-4345

Phone

(408) 551-3193

NPI assigned

Jan 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1265979462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHORT HILL RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054646",
            "telephone_number": "510-289-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504345",
            "telephone_number": "408-551-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CRYSTAL",
        "middle_name": "JADE",
        "name_prefix": "Miss",
        "credential": "ATC, CES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin H Lee, L.AC.
• Brian Lee
• Brian P. Lee, MD
• Christine Y. Lee, DDS
• Cindy Lee, OD
• Derek Lee, MD
• Dong Hoon Lee, MD
• Elisa S. Lee, MD
• Helen Lee, BCBA
• Hyojik Lee, D.O.

• Athletic Trainer in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.