Ivan Y Lee, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G80771 Issued in CA

Practice address

27001 Calaroga Ave
#5
Hayward, CA 94545-4345

Phone

(510) 783-6444

Fax

(510) 783-6446

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hill Physicians Care Solutions, Inc.

  • Health Maintenance Organization
  • San Ramon, CA
  • NPI 1437769429
  NPD (past)
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1366431348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 CALAROGA AVE",
            "address_2": "#5",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454345",
            "telephone_number": "510-783-6444",
            "fax_number": "510-783-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 CALAROGA AVE",
            "address_2": "#5",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454345",
            "telephone_number": "510-783-6444",
            "fax_number": "510-783-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IVAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Calvin Lee, M.D.
• Dominique Lee
• Doris Lee
• Elena Lee
• Eugene Whan Lee, M.D.
• Johnson Lee
• Lawrence C Lee, DDS
• Lisa Lee
• Nancy Lee, PHARMD
• Tiffany Lee

• Internal Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.