Individual provider Active NPI

Patricia Yung Lee

  • Physician Assistant
  • Saratoga, CA
National Provider Identifier
1427690965
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58089 Issued in CA
Practice address
19434 De Havilland CT
Saratoga, CA 95070-4040
Phone
(408) 890-1741
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 58089 CA Primary

Addresses

Primary practice location

19434 De Havilland CT
Saratoga, CA 95070-4040

Mailing address

19434 De Havilland CT
Saratoga, CA 95070-4040
Phone (408) 890-1741

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
I20200731001312 CA Practitioner - Physician Assistant 0446675904 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58089CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Apr 1, 2021 Accepting new patients
Stanford Health Care CurrentSince Apr 1, 2021 Accepting new patients
Vituity Hospitalists PC CurrentSince Aug 10, 2020 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 4

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1427690965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19434 DE HAVILLAND CT",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704040",
            "telephone_number": "408-890-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19434 DE HAVILLAND CT",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704040",
            "telephone_number": "408-890-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "middle_name": "YUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.