Active NPI
Sydney Nicole Lee, M.D.
- Family Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A170885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kent.healthpoint.p3@direct.hpc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Community Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170885 | CA | MD | Family Medicine Physician |
| 3861761 | ID | MD | Family Medicine Physician |
| MD2019-0838 | NM | MD | Family Medicine Physician |
| MD61062332 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1740439314
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1053969642
-
- Community/Retail Pharmacy
- Lamont, CA
- NPI 1275161325
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1245234673
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Home Health Agency
- Fresno, CA
- NPI 1588745137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.