Active NPI
Sang H Lee, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A61812
- Practice address
- 175 N Jackson Ave
Suite 201
San Jose, CA 95116-1909 - Phone
- (408) 920-0177
- Fax
- (408) 920-0175
- NPI assigned
- Jun 14, 2006
- Last updated
- Aug 24, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A61812 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036166059 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A61812 | CA | Primary |
Addresses
Primary practice location
175 N Jackson Ave
Suite 201
San Jose, CA 95116-1909
Mailing address
7000 Village Pkwy Ste 9
Dublin, CA 94568-2413
Phone (408) 920-0177
Other practice location 1
12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A618120 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040830000474 | CA | Practitioner - Cardiac Surgery | 2264407659 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
455 Oconnor Dr
Suite 280
San Jose, CA 95128-1644
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61812 | CA | MD | Specialist |
| 61812 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Past | Accepting new patients | |
| Cardiothoracic Surgical Assoc.,Inc. | Specialist | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sang.lee.1@8236.direct.athenahealth.com
- slee42024@santaclaravalley.direct-ci.net
Organizations & group practices 3
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.
-
- Specialist
- San Jose, CA
- NPI 1225056930
-
- Specialist
- Fremont, CA
- NPI 1841251907
-
dba Enloe Cardiology Services
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1356384796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 VILLAGE PKWY STE 9",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682413",
"telephone_number": "408-920-0177",
"fax_number": "408-920-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N JACKSON AVE",
"address_2": "SUITE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161909",
"telephone_number": "408-920-0177",
"fax_number": "408-920-0175"
}
],
"practiceLocations": [
{
"address_1": "12251 S 80th Ave Ste 1520",
"address_purpose": "LOCATION",
"city": "Palos Heights",
"state": "IL",
"postal_code": "604631290",
"country_code": "US",
"telephone_number": "708-923-4200",
"fax_number": "708-923-4201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SANG",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A61812",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036166059",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A61812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A618120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.