Individual provider Active NPI

Bryan K Lee, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1386801330
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105716 Issued in CA
Practice address
5385 Franklin Blvd Ste K
Sacramento, CA 95820
Phone
(916) 428-0656
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105716 CA Primary

Addresses

Primary practice location

5385 Franklin Blvd Ste K
Sacramento, CA 95820

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Other practice location 1

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-6131

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
I20101118000433 CA Practitioner - Internal Medicine 2163618018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elica Health CentersGroup PAC ID 4385706845, 23 clinicians

Practice addresses (Care Compare)

1276 Halyard Dr
West Sacramento, CA 95691-3412
Phone (916) 454-2345

155 15TH St a
West Sacramento, CA 95691-3737
Phone (916) 454-2345

1750 Wright St
Suite 1
Sacramento, CA 95825-4041
Phone (916) 454-2345

3234 Marysville Blvd
Sacramento, CA 95815-1411
Phone (916) 454-2345

4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105716CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Sep 22, 2018 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Elica Health Centers CurrentSince Sep 22, 2018 Accepting new patients
Bryan K. Lee, MD, Inc. Current Accepting new patients
Elica Health Centers Current Accepting new patients

Locations

1860 Howe Ave
Ste 440
Sacramento, CA 95825

5385 Franklin Blvd
Ste K
Sacramento, CA 95820
Phone (916) 428-0656

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1750 Wright St
Ste 1
Sacramento, CA 95825

3234 Marysville Blvd
Sacramento, CA 95815
Phone (916) 646-1200

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • Direct secure messaging: blee343090@direct.ochin.org

Organizations & group practices 6

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1386801330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484",
            "fax_number": "916-550-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 FRANKLIN BLVD STE K",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95820",
            "telephone_number": "916-428-0656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Bruceville Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958234671",
            "country_code": "US",
            "telephone_number": "916-688-6131",
            "fax_number": "916-688-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRYAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.