Active NPI
Jacob Lee, PA-C
- Medical Physician Assistant
- Fresno, CA
National Provider Identifier
1346043841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 66945
- Practice address
- 4340 E Jensen Ave
Fresno, CA 93725-1485 - Phone
- (800) 492-4227
- NPI assigned
- Mar 31, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 66945 | CA | Primary |
Addresses
Primary practice location
4340 E Jensen Ave
Fresno, CA 93725-1485
Mailing address
4340 E Jensen Ave
Fresno, CA 93725-1485
Phone (800) 492-4227
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 |
|---|---|---|---|
| 66945 | CA | MD | Pharmacist |
Interoperability endpoints
- jacob.lee.1@17661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768694400000",
"number": "1346043841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 E JENSEN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937251485",
"telephone_number": "800-492-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 E JENSEN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937251485",
"telephone_number": "800-492-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2026-01-18",
"certification_date": "2026-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "66945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.