Individual provider Active NPI

Sydney Nicole Lee, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1780115014
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A170885 Issued in CA
Practice address
1350 S Orange Ave
Fresno, CA 93702-3463
Phone
(559) 457-5400
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3861761 ID
Family Medicine Physician 207Q00000X MD2019-0838 NM
Family Medicine Physician 207Q00000X MD61062332 WA
Student in an Organized Health Care Education/Training Program 390200000X NM
Family Medicine Physician 207Q00000X A170885 CA Primary

Addresses

Primary practice location

1350 S Orange Ave
Fresno, CA 93702-3463

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

126 Auburn Ave Ste 300
Auburn, WA 98002-5082
Phone (253) 735-0166

Other practice location 2

1 University Of New Mexico
MSC 09-5040
Albuquerque, NM 87131-0001
Phone (505) 272-6607

Other practice location 3

465 McKenna Dr
Mountain Home, ID 83647-2143
Phone (208) 587-9703

Other practice location 4

403 E Meeker St Ste 200
Kent, WA 98030-5904
Phone (253) 852-2866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kent.healthpoint.p3@direct.hpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221107003250 HI Practitioner - Family Practice 9133499825 Reassigns benefits to 1 organization
I20250102001920 CA Practitioner - Family Practice 9133499825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1350 S Orange Ave
Fresno, CA 93702-3463
Phone (559) 457-5400

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

2505 E Divisadero St
Fresno, CA 93721-1401
Phone (559) 457-5500

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

2760 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5300

302 Fresno St
Fresno, CA 93706-3641
Phone (559) 457-5700

3645 W Shaw Ave
Fresno, CA 93711-3206
Phone (559) 457-6800

Hospital & facility affiliations

  • Community Home Care Home health agency, Fresno, CA, CCN 057248
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A170885CAMDFamily Medicine Physician
3861761IDMDFamily Medicine Physician
MD2019-0838NMMDFamily Medicine Physician
MD61062332WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jan 6, 2025 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Sep 26, 2022 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 6, 2025 Accepting new patients
Clinica Sierra Vista Past Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

302 Fresno St
Ste 101
Fresno, CA 93706
Phone (559) 457-5700

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000

Interoperability endpoints

  • Direct secure messaging: sydney.lee.p3@direct.hpc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1780115014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ORANGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023463",
            "telephone_number": "559-457-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Auburn Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980025082",
            "country_code": "US",
            "telephone_number": "253-735-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 University Of New Mexico",
            "address_2": "MSC 09-5040",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6607",
            "fax_number": "505-272-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 McKenna Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472143",
            "country_code": "US",
            "telephone_number": "208-587-9703",
            "fax_number": "208-587-1816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 E Meeker St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980305904",
            "country_code": "US",
            "telephone_number": "253-852-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SYDNEY",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "3861761",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61062332",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A170885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kent.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "403 E Meeker St Ste 200",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.