Individual provider Active NPI

Tsun-Nin Lee, M.D.

  • General Practice Physician
  • San Francisco, CA
National Provider Identifier
1295986701
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G20668 Issued in CA
Practice address
1790 26TH Ave
San Francisco, CA 94122-4316
Phone
(415) 731-1330
Fax
(415) 566-1066
NPI assigned
Oct 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G20668 CA Primary

Addresses

Primary practice location

1790 26TH Ave
San Francisco, CA 94122-4316

Mailing address

1790 26TH Ave
San Francisco, CA 94122-4316
Phone (415) 731-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G20668CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Med. Clinic for the Treatment of Pain, P.C. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1295986701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224316",
            "telephone_number": "415-731-1330",
            "fax_number": "415-566-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224316",
            "telephone_number": "415-731-1330",
            "fax_number": "415-566-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TSUN-NIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G20668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.