NPIMap

Individual provider Active NPI

George Lee, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1306916895
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77791 Issued in CA
Practice address
818 Webster St
Oakland, CA 94607-4220
Phone
(510) 986-6830
NPI assigned
Nov 9, 2006
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G77791 CA Primary

Addresses

Primary practice location

818 Webster St
Oakland, CA 94607-4220

Mailing address

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6830

Other identifiers 2

IdentifierTypeStateIssuer
00G777910OtherCAPTAN #
G77791OtherCALICENSE NUMBER

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
I20090728000662 CA Practitioner - Family Practice 5395751507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77791CAMDPharmacist
G77791CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Jan 1, 2009 Accepting new patients
Asian Health Services CurrentSince Jan 1, 2009 Accepting new patients
Asian Health Services Past Accepting new patients

Locations

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: glee265200@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Asian Health ServicesOakland, CA, CCN 051816 Federally qualified health center W-2 Managing Employee Jan 1, 2012
Rolland & Kathryn Lowe Medical CenterOakland, CA, CCN 551800 Federally qualified health center W-2 Managing Employee Jun 9, 2010
Asian Health ServicesOakland, CA, CCN 551040 Federally qualified health center W-2 Managing Employee Jul 1, 2017
Asian Health ServicesOakland, CA, CCN 551047 Federally qualified health center W-2 Managing Employee Jul 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1306916895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN #",
            "identifier": "00G777910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G77791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.