Active NPI
Lee Dermatology, P.C.
- Medical Specialty Clinic/Center
- San Francisco, CA
National Provider Identifier
1720499684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A120644
- Legal business name
- LEE DERMATOLOGY, P.C.
- Practice address
- 929 Clay St Ste 105
San Francisco, CA 94108-1568 - Phone
- (415) 982-9877
- Fax
- (415) 982-5523
- NPI assigned
- May 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Jin Lee, M.D.
- Title
- President
- Phone
- (415) 982-9877
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | A120644 | CA | Primary |
Addresses
Primary practice location
929 Clay St Ste 105
San Francisco, CA 94108-1568
Mailing address
929 Clay St Ste 105
San Francisco, CA 94108-1568
Phone (415) 982-9877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609215482 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Lee Dermatology PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dermatology Physician
- San Francisco, CA
- NPI 1609215482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- San Francisco, CA
- NPI 1770700908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400025600000",
"number": "1720499684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 CLAY ST STE 105",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081568",
"telephone_number": "415-982-9877",
"fax_number": "415-982-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 CLAY ST STE 105",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081568",
"telephone_number": "415-982-9877",
"fax_number": "415-982-5523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE DERMATOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-14",
"last_updated": "2014-05-14",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "JIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-982-9877",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A120644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609215482",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.