Individual provider Active NPI

Isabel Demos Lee, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1326176405
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A93882 Issued in CA
Practice address
1030 International Blvd
San Antonio Neighborhood Health Center
Oakland, CA 94606
Phone
(510) 238-5416
Fax
(510) 238-5437
NPI assigned
Mar 1, 2007
Last updated
Aug 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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 A93882 CA Primary

Addresses

Primary practice location

1030 International Blvd
San Antonio Neighborhood Health Center
Oakland, CA 94606

Mailing address

1030 International Blvd
San Antonio Neighborhood Health Center
Oakland, CA 94606
Phone (510) 238-5416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000786 CA Practitioner - Family Practice 2567521131 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93882CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince May 11, 2010 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Nov 5, 2022 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince May 11, 2010 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City and County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Nov 5, 2022 Accepting new patients
City & County of San Francisco CurrentSince Oct 26, 2019 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

Interoperability endpoints

  • Direct secure messaging: isabel.leemd.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1326176405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 INTERNATIONAL BLVD",
            "address_2": "SAN ANTONIO NEIGHBORHOOD HEALTH CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94606",
            "telephone_number": "510-238-5416",
            "fax_number": "510-238-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 INTERNATIONAL BLVD",
            "address_2": "SAN ANTONIO NEIGHBORHOOD HEALTH CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94606",
            "telephone_number": "510-238-5416",
            "fax_number": "510-238-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ISABEL",
        "middle_name": "DEMOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.