Active NPI
Eun Mi Lee
- Hemodialysis Registered Nurse
- El Cajon, CA
National Provider Identifier
1366261521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hemodialysis Registered Nurse
- License
- RN95300073
- Practice address
- 858 Fletcher Pkwy
El Cajon, CA 92020-1818 - Phone
- (619) 442-4122
- NPI assigned
- Oct 5, 2024
- Last updated
- Oct 5, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hemodialysis Registered Nurse | 163WH0500X | RN95300073 | CA | Primary |
Addresses
Primary practice location
858 Fletcher Pkwy
El Cajon, CA 92020-1818
Mailing address
1365 Cathedral Oaks Rd
Chula Vista, CA 91913-2523
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 |
|---|---|---|---|
| RN95300073 | CA | MD | Hemodialysis Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rai Care Centers of Southern California II, LLC | Current | Accepting new patients | |
| Rai Care Centers of Southern California II, LLC | Past | Accepting new patients |
Locations
858 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 442-4122
Organizations & group practices 2
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.
-
dba Rai - Fletcher Parkway - El Cajon
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- El Cajon, CA
- NPI 1922172642
-
dba Rai - Corporate Way - Palm Desert
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Palm Desert, CA
- NPI 1598839227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728086400000",
"number": "1366261521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 CATHEDRAL OAKS RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "858 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201818",
"telephone_number": "619-442-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EUN MI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-05",
"last_updated": "2024-10-05",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hemodialysis",
"state": "CA",
"license": "RN95300073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.