Individual provider Active NPI

Lee Webber

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
National Provider Identifier
1558099317
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
48714 Issued in CA
Practice address
13075 Evening Creek Dr S
San Diego, CA 92128-8101
Phone
(608) 575-0741
NPI assigned
Aug 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 48714 CA Primary

Addresses

Primary practice location

13075 Evening Creek Dr S
San Diego, CA 92128-8101

Mailing address

1510 Woodvale Dr
Oregon, WI 53575-1735
Phone (608) 575-0741

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.belmontvillage.com/locations/sabre-springs-california/?utm_source=gmb&utm_medium=organic&utm_content=gmb-website

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

LicenseStateTypeSpecialty
48714CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1558099317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 WOODVALE DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751735",
            "telephone_number": "608-575-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 EVENING CREEK DR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921288101",
            "telephone_number": "608-575-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "48714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.belmontvillage.com/locations/sabre-springs-california/?utm_source=gmb&utm_medium=organic&utm_content=gmb-website",
            "affiliation": "N",
            "address_1": "13075 Evening Creek Dr S",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921288101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 10, 2022; 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.