Caroline Jean Lee, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A86899 Issued in CA

Practice address

1000 Cayuga Ave
Balboa Teen Health Center
San Francisco, CA 94112

Phone

(415) 469-4512

Fax

(415) 469-4096

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C Jeanne Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457445249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CAYUGA AVE",
            "address_2": "BALBOA TEEN HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-469-4512",
            "fax_number": "415-469-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CAYUGA AVE",
            "address_2": "BALBOA TEEN HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-469-4512",
            "fax_number": "415-469-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CAROLINE",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "00A868990",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C JEANNE",
            "last_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Candice Lee
• Canna Lee
• Carol K Lee, M.D.
• Caroline Lee
• Caroline Helen Lee, MD
• Carolyn Lee, MSPT
• Carrie Lee, O.D.
• Casey Paul Lee, DDS, MD
• Chae Joon Lee
• Chanhung Z. Lee, MD

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.