NPIMap

Individual provider Active NPI

Simon Kwanmin Lee, M.D.

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1275532145
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83169 Issued in CA
Practice address
1828 El Camino Real
Suite 406
Burlingame, CA 94010-3103
Phone
(650) 692-1388
Fax
(650) 692-1380
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G83169 CA Primary

Addresses

Primary practice location

1828 El Camino Real
Suite 406
Burlingame, CA 94010-3103

Mailing address

1828 El Camino Real
Suite 406
Burlingame, CA 94010-3103
Phone (650) 692-1388

Other identifiers 1

IdentifierTypeStateIssuer
00G831691MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050212000043 CA Practitioner - Internal Medicine 9739131236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

950 Stockton St
Suite 202
San Francisco, CA 94108-1619
Phone (415) 837-0888

Hospital & facility affiliations

  • Vital Home Health Care Home health agency, Hayward, CA, CCN 059462
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Harmony Home Health Home health agency, Daly City, CA, CCN 053133
  • Alphacare Home Health Home health agency, San Bruno, CA, CCN 559279
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83169CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Lee, MD, a Professional Corporation Internal Medicine Current Accepting new patients
Simon Lee M D a Professional Corp Internal Medicine CurrentSince Apr 1, 2007 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1860 El Camino Real
Ste 200
Burlingame, CA 94010
Phone (650) 582-3729

1828 El Camino Real
Ste 406
Burlingame, CA 94010
Phone (650) 692-1388

950 Stockton St
Ste 202
San Francisco, CA 94108
Phone (415) 827-3323

950 Stockton St
Ste 205
San Francisco, CA 94108
Phone (415) 402-0793

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: simon.lee@11050379051012.direct.elationemr.com

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.

Hospital & facility affiliations 10

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1275532145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 406",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-692-1388",
            "fax_number": "650-692-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 406",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-692-1388",
            "fax_number": "650-692-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIMON",
        "middle_name": "KWANMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.