Individual provider Active NPI

Caitlin Choi Lee, D.O.

  • Family Medicine Physician
  • Lemoore, CA
National Provider Identifier
1396270138
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102205510 Issued in VA
Practice address
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone
(559) 998-0719
NPI assigned
May 1, 2017
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102205510 VA Primary
General Practice Physician 208D00000X 0102205510 VA

Addresses

Primary practice location

937 Franklin Blvd
Lemoore, CA 93246-4700

Mailing address

937 Franklin Blvd
Lemoore, CA 93246-4700

Other identifiers 3

IdentifierTypeStateIssuer
1396270138OtherTRICARE
1396270138OtherNAVAL HOSPITAL JACKSONVILLE
1396270138OtherNAVAL HEALTH CLINIC LEMOORE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220512001734 VA Order and Referring Only - Family PracticePractitioner - Family Practice 9931586930

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1396270138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700",
            "telephone_number": "559-998-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAITLIN",
        "middle_name": "CHOI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205510",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102205510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1396270138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAVAL HOSPITAL JACKSONVILLE",
            "identifier": "1396270138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAVAL HEALTH CLINIC LEMOORE",
            "identifier": "1396270138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.