Individual provider Active NPI

Andrew Lee, M.D.

  • Vascular & Interventional Radiology Physician
  • Fremont, CA
National Provider Identifier
1285053454
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A140487 Issued in CA
Practice address
3463 Belmont Ter
Fremont, CA 94539-8351
Phone
(510) 378-3842
NPI assigned
Apr 15, 2014
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A140487 CA Primary

Addresses

Primary practice location

3463 Belmont Ter
Fremont, CA 94539-8351

Mailing address

3463 Belmont Ter
Fremont, CA 94539-8351
Phone (510) 378-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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
I20250331000896 CA Practitioner - Diagnostic Radiology 6406379528 Reassigns benefits to 6 organizations
I20250902000724 HI Practitioner - Diagnostic Radiology 6406379528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

2250 Kilowatt Way
Unit 406
Fremont, CA 94539-8504
Phone (510) 264-4000

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

92 -1097 Koio Dr
M 335
Kapolei, HI 96707-2296
Phone (209) 647-2184

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140487CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Multi-Specialty Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
San Joaquin Faculty Medical Group Multi-Specialty CurrentSince Mar 28, 2025 Accepting new patients
Central Valley Imaging Medical Associates, Inc Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. CurrentSince Jun 1, 2026 Accepting new patients
County of San Joaquin CurrentSince Mar 28, 2025 Accepting new patients
Delta Radiology, Inc. Multi-Specialty Current Accepting new patients
County of San Joaquin Multi-Specialty CurrentSince Mar 28, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Lodi Memorial Hospital Association, Inc Multi-Specialty Current Accepting new patients
Delta Radiology, Inc. Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. CurrentSince Jun 1, 2026 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Delta Sierra Medical Group, Inc Multi-Specialty PastSince Dec 7, 2025 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1285053454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 BELMONT TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398351",
            "telephone_number": "510-378-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 BELMONT TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398351",
            "telephone_number": "510-378-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A140487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.