Active NPI
Erina Lee, D.D.S
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1467690636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57063
- Practice address
- 2020 Camino de la Reina
#117
San Diego, CA 92108-5522 - Phone
- (909) 556-9850
- Fax
- (619) 269-7176
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57063 | CA | Primary |
Addresses
Primary practice location
2020 Camino de la Reina
#117
San Diego, CA 92108-5522
Mailing address
2020 Camino de la Reina
#117
San Diego, CA 92108-5522
Phone (909) 556-9850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57063 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1467690636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CAMINO DE LA REINA",
"address_2": "#117",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085522",
"telephone_number": "909-556-9850",
"fax_number": "619-269-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAMINO DE LA REINA",
"address_2": "#117",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085522",
"telephone_number": "909-556-9850",
"fax_number": "619-269-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERINA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.