Active NPI
Susan Weishenn Lee, MD
- Radiation Oncology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G84653
- Practice address
- 4001 J St
Sacramento, CA 95819-3626 - Phone
- (916) 453-4528
- Fax
- (916) 456-5267
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G84653 | CA | Primary |
Addresses
Primary practice location
4001 J St
Sacramento, CA 95819-3626
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84653 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients |
Locations
3320 Bell Rd
Auburn, CA 95603
Phone (530) 402-2700
3581 Palmer Dr
Ste 303
Cameron Park, CA 95682
Phone (530) 672-1350
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
2 Medical Plaza Dr
Ste 180
Roseville, CA 95661
Phone (916) 781-1225
2800 L St
Ste 10
Sacramento, CA 95816
Phone (916) 454-6600
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
3161 L St
Sacramento, CA 95816
Phone (916) 453-9999
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
200 Bella Vista Rd
Vacaville, CA 95687
Phone (707) 447-0400
Interoperability endpoints
- slee35912@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1710983358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193626",
"telephone_number": "916-453-4528",
"fax_number": "916-456-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"middle_name": "WEISHENN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G84653",
"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 Jun 4, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.