Active NPI
Sidney Wellington Lee
- Peer Specialist
- Redwood City, CA
National Provider Identifier
1407769201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 802 Brewster Ave
Redwood City, CA 94063-1510 - Phone
- (650) 554-1817
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
Primary practice location
802 Brewster Ave
Redwood City, CA 94063-1510
Mailing address
802 Brewster Ave
Redwood City, CA 94063-1510
Phone (650) 554-1817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1407769201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 BREWSTER AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631510",
"telephone_number": "650-554-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 BREWSTER AVE",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631510",
"telephone_number": "650-554-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SIDNEY",
"middle_name": "WELLINGTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.