Individual provider Active NPI

Elizabeth Lee, PA-C

  • Physician Assistant
  • San Ramon, CA
National Provider Identifier
1376946962
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51989 Issued in CA
Practice address
2301 Camino Ramon Ste 180
San Ramon, CA 94583-2060
Phone
(925) 866-1005
Fax
(925) 866-1006
NPI assigned
Sep 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51989 CA Primary

Addresses

Primary practice location

2301 Camino Ramon Ste 180
San Ramon, CA 94583-2060

Mailing address

2301 Camino Ramon Ste 180
San Ramon, CA 94583-2060
Phone (925) 866-1005

Other practice location 1

278 Town Center Pkwy
Santee, CA 92071-5800
Phone (619) 713-7880

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002175 CA Practitioner - Physician Assistant 1759677057 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51989CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Sep 22, 2022 Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Sep 22, 2022 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2301 Camino Ramon
Ste 180
San Ramon, CA 94583
Phone (925) 244-1240

Interoperability endpoints

  • Direct secure messaging: elizabeth.chui.p22@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1376946962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-866-1005",
            "fax_number": "925-866-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMINO RAMON STE 180",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832060",
            "telephone_number": "925-866-1005",
            "fax_number": "925-866-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920715800",
            "country_code": "US",
            "telephone_number": "619-713-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.