Organization Active NPI

Richard D Lee, MD Inc.

  • Primary Care Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1326165366
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD D LEE, MD INC.
Practice address
605 Cowper St
Palo Alto, CA 94301-1808
Phone
(650) 289-0110
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Richard D Lee, M.D.NPI 1285625236
Title
Director
Phone
(650) 289-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

605 Cowper St
Palo Alto, CA 94301-1808

Mailing address

605 Cowper St
Palo Alto, CA 94301-1808
Phone (650) 289-0110

Other names 1

  • Hometown Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000567 CA Part B Supplier - Clinic/Group Practice 7618902792 Receives reassigned benefits from 1 practitioner
Practice locations: Portola Valley, CA

National Provider Directory

National Provider Directory

Locations

605 Cowper St
Palo Alto, CA 94301
Phone (650) 289-0110

3 Portola Rd
Ste 3A
Portola Valley, CA 94028
Phone (650) 280-0110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1326165366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011808",
            "telephone_number": "650-289-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011808",
            "telephone_number": "650-289-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D LEE, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-289-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.