NPIMap

Individual provider Active NPI

Elaine Lee, M.D.

  • Surgery Physician
  • Campbell, CA
National Provider Identifier
1619243086
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A128258 Issued in CA
Practice address
910 Campisi Way Ste 2a
Campbell, CA 95008-2351
Phone
(408) 827-4274
Fax
(408) 827-4275
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A128258 CA Primary

Addresses

Primary practice location

910 Campisi Way Ste 2a
Campbell, CA 95008-2351

Mailing address

910 Campisi Way Ste 2a
Campbell, CA 95008-2351
Phone (408) 827-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191106001636 MD Practitioner - General Surgery 4880926153 Reassigns benefits to 1 organization
I20201013002328 CA Practitioner - Surgical Oncology 4880926153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic CareGroup PAC ID 5890053094, 54 clinicians
Bay Area Gynecology Oncology IncGroup PAC ID 7618907148, 10 clinicians
Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, 52 clinicians

Practice addresses (Care Compare)

1480 64TH St
Suite 100
Emeryville, CA 94608-2038
Phone (510) 629-6682

910 Campisi Way
Suite 2a
Campbell, CA 95008-2351
Phone (408) 827-4274

911 Sunset Dr
Hollister, CA 95023-5602

911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128258CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 14, 2019 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 14, 2019 Accepting new patients
Bay Area Gynecology Oncology Inc CurrentSince Dec 1, 2024 Accepting new patients
Epic Care CurrentSince Dec 1, 2020 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
John Muir Health Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

2345 Country Hills Dr
Antioch, CA 94509
Phone (925) 418-0278

910 Campisi Way
Campbell, CA 95008
Phone (408) 462-0794

910 Campisi Way
Ste 2A
Campbell, CA 95008
Phone (408) 827-4274

6380 Clark Ave
Dublin, CA 94568
Phone (925) 277-1900

1480 64th St
Ste 100
Emeryville, CA 94608
Phone (415) 565-6684

388 9th St
Ste 218
Oakland, CA 94607
Phone (510) 451-1196

388 9th St
Ste 218B
Oakland, CA 94607
Phone (510) 271-0133

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elee561556@hisp.ehr.sutterhealth.org
  • Direct secure messaging: elee233068@santaclaravalley.direct-ci.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1619243086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAMPISI WAY STE 2A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082351",
            "telephone_number": "408-827-4274",
            "fax_number": "408-827-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAMPISI WAY STE 2A",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082351",
            "telephone_number": "408-827-4274",
            "fax_number": "408-827-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A128258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.