Active NPI
Brian Lee
- Orthotist
- Pleasant Hill, CA
National Provider Identifier
1326406463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- C50283
- Practice address
- 3161 Putnam Blvd
Pleasant Hill, CA 94523-4650 - Phone
- (925) 943-1119
- Fax
- (925) 943-2493
- NPI assigned
- Feb 3, 2016
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | C50283 | CA | Primary |
| Prosthetics Case Management | 1744P3200X | C50283 | CA |
Addresses
Primary practice location
3161 Putnam Blvd
Pleasant Hill, CA 94523-4650
Mailing address
3161 Putnam Blvd
Pleasant Hill, CA 94523-4650
Phone (925) 943-1119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50283 | CA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1326406463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234650",
"telephone_number": "925-943-1119",
"fax_number": "925-943-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3161 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234650",
"telephone_number": "925-943-1119",
"fax_number": "925-943-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "C50283",
"primary": true
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "CA",
"license": "C50283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.