Active NPI
Jimin Lee
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1508348749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 36039
- Practice address
- 2000 Embarcadero Ste 400
Oakland, CA 94606-5300 - Phone
- (510) 567-8101
- NPI assigned
- Sep 4, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 36039 | CA | Primary |
Addresses
Primary practice location
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Mailing address
2702 Foxglove CT
Pleasanton, CA 94588-2672
Phone (650) 722-7837
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1508348749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 FOXGLOVE CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882672",
"telephone_number": "650-722-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EMBARCADERO STE 400",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946065300",
"telephone_number": "510-567-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JIMIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "36039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.