Individual provider Active NPI

Wes Shen-Lin Lee, M.D.

  • Medical Oncology Physician
  • Santa Rosa, CA
National Provider Identifier
1376633149
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
G82213 Issued in CA
Practice address
3555 Round Barn Cir
Santa Rosa, CA 95403
Phone
(707) 528-1050
Fax
(707) 525-3874
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X G82213 CA
Hematology & Oncology Physician 207RH0003X G82213 CA
Medical Oncology Physician 207RX0202X G82213 CA Primary

Addresses

Primary practice location

3555 Round Barn Cir
Santa Rosa, CA 95403

Mailing address

3555 Round Barn Cir
Santa Rosa, CA 95403-1757
Phone (707) 528-1050

Other identifiers 1

IdentifierTypeStateIssuer
00G822130MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wlee1657959@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000811 CA Practitioner - Medical Oncology 6507925286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

110 Lynch Creek Way
Suite a
Petaluma, CA 94954-2337
Phone (707) 763-0600

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

1375 University St
Healdsburg, CA 95448-3382
Phone (707) 547-5437

3555 Round Barn Cir
Santa Rosa, CA 95403-1757
Phone (707) 528-1050

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82213CAMDPharmacist
G82213CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients
Redwood Regional Medical Group Inc Hematology & Oncology Past Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1100 Trancas St
Ste 256
Napa, CA 94558
Phone (707) 253-7161

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

3555 Round Barn Cir
Santa Rosa, CA 95403
Phone (707) 528-1050

3555 Round Barn Cir
Ste 100
Santa Rosa, CA 95403
Phone (707) 528-1050

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

652 Petaluma Ave
Ste B
Sebastopol, CA 95472
Phone (707) 823-8565

Interoperability endpoints

  • Direct secure messaging: wlee1657959@oc.providencedirect.org
  • Direct secure messaging: wes.lee@stjoe.direct.varian.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1376633149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-528-1050",
            "fax_number": "707-525-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-528-1050",
            "fax_number": "707-525-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WES",
        "middle_name": "SHEN-LIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G82213",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G82213",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G82213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G822130",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wlee1657959@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3555 Round Barn Cir",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.