Active NPI
Philip D Lee, DC LAC
- Acupuncturist
- Cupertino, CA
National Provider Identifier
1316168255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9642
- Practice address
- 10311 S de Anza Blvd
#1
Cupertino, CA 95014-3028 - Phone
- (408) 725-8197
- Fax
- (408) 725-0108
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26891 | CA | |
| Acupuncturist | 171100000X | AC9642 | CA | Primary |
Addresses
Primary practice location
10311 S de Anza Blvd
#1
Cupertino, CA 95014-3028
Mailing address
10311 S de Anza Blvd
#1
Cupertino, CA 95014-3028
Phone (408) 725-8197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040210000728 | CA | Practitioner - Chiropractic | 9739073826 | Practice locations: Cupertino, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10311 S de Anza Blvd
Cupertino, CA 95014-3028
Phone (408) 725-8197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC9642 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1316168255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10311 S DE ANZA BLVD",
"address_2": "#1",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143028",
"telephone_number": "408-725-8197",
"fax_number": "408-725-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10311 S DE ANZA BLVD",
"address_2": "#1",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143028",
"telephone_number": "408-725-8197",
"fax_number": "408-725-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PHILIP",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26891",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC9642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.