Individual provider Active NPI

Philip D Lee, DC LAC

  • Acupuncturist
  • Cupertino, CA
National Provider Identifier
1316168255
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9642 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
AC9642CAMDAcupuncturist

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.

Verify at the official NPI Registry.