Active NPI
Jennifer Geeyuen Lee, M.B.B.S
- Pediatric Critical Care Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- C183484
- Practice address
- 2516 Stockton Blvd
Sacramento, CA 95817-2208 - Phone
- (916) 734-0868
- NPI assigned
- Apr 28, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 305973 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Critical Care Medicine Physician | 2080P0203X | C183484 | CA | Primary |
Addresses
Primary practice location
2516 Stockton Blvd
Sacramento, CA 95817-2208
Mailing address
2516 Stockton Blvd
Sacramento, CA 95817-2208
Other practice location 1
1430 Tulane Ave # Sl-37
New Orleans, LA 70112-2632
Phone (504) 988-5458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2521 Stockton Blvd
Sacramento, CA 95817-2207
Phone (916) 734-2111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C183484 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Regents of the University of Ca | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
2315 Stockton Blvd
#10
Sacramento, CA 95817
1514 Jefferson Hwy
New Orleans, LA 70121
Interoperability endpoints
- jlee451661@direct.hopkinsmedicine.org
Organizations & group practices 10
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.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Pediatric Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1679915565
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Pediatric Critical Care Medicine Physician
- Sacramento, CA
- NPI 1104815067
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Therapy & Wellness-Bellemeade
- General Practice Physician
- Gretna, LA
- NPI 1548704422
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1679993893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172208",
"telephone_number": "916-734-0868"
}
],
"practiceLocations": [
{
"address_1": "1430 Tulane Ave # Sl-37",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122632",
"country_code": "US",
"telephone_number": "504-988-5458",
"fax_number": "504-988-6808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"middle_name": "GEEYUEN",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "305973",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "C183484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.