Organization Active NPI

Bryan K. Lee, MD, Inc.

  • In Home Supportive Care Agency
  • Fair Oaks, CA
National Provider Identifier
1760025357
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BRYAN K. LEE, MD, INC.
Practice address
4201 Sunrise Blvd Ste a
Fair Oaks, CA 95628-7000
Phone
(916) 536-6565
Fax
(916) 536-6565
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Bryan Keith Lee, MDNPI 1386801330
Title
Owner
Phone
(916) 536-6568

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4201 Sunrise Blvd Ste a
Fair Oaks, CA 95628-7000

Mailing address

4201 Sunrise Blvd Ste a
Fair Oaks, CA 95628-7000
Phone (916) 536-6565

Other names 1

  • ComForCare Home Care - Sacramento Metro East Doing business as

National Provider Directory

National Provider Directory

Locations

4201 Sunrise Blvd
Ste A
Fair Oaks, CA 95628
Phone (916) 536-6565

Practitioners & affiliated clinicians

Practitioners 1

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": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1760025357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SUNRISE BLVD STE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287000",
            "telephone_number": "916-536-6565",
            "fax_number": "916-536-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SUNRISE BLVD STE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287000",
            "telephone_number": "916-536-6565",
            "fax_number": "916-536-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN K. LEE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-536-6568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care - Sacramento Metro East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.