Organization Active NPI

DO-Eun Lee MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Napa, CA
National Provider Identifier
1720213978
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A107775 Issued in CA
Legal business name
DO-EUN LEE MD INC
Practice address
935 Trancas St Ste 4B
Napa, CA 94558-2943
Phone
(707) 927-5753
Fax
(925) 298-5221
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Dr. DO-Eun Lee, M.D.NPI 1346339652
Title
Owner
Phone
(646) 326-1554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A107775 CA Primary

Addresses

Primary practice location

935 Trancas St Ste 4B
Napa, CA 94558-2943

Mailing address

935 Trancas St Ste 4B
Napa, CA 94558-2943
Phone (707) 927-5753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090805000468 CA Part B Supplier - Clinic/Group Practice 9638222896 Receives reassigned benefits from 2 practitioners
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Locations

1735 Jefferson St
Napa, CA 94559
Phone (707) 252-8050

3230 Beard Rd
Ste 1
Napa, CA 94558
Phone (707) 253-7005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1720213978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 4B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582943",
            "telephone_number": "707-927-5753",
            "fax_number": "925-298-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRANCAS ST STE 4B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582943",
            "telephone_number": "707-927-5753",
            "fax_number": "925-298-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO-EUN LEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DO-EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-326-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A107775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.