Individual provider Active NPI

Josephine Susan Lee, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1780406157
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95032640 Issued in CA
Practice address
505 Parnassus Ave # L1556
San Francisco, CA 94143-2204
Phone
(415) 502-4906
NPI assigned
Oct 28, 2024
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95032640 CA Primary

Addresses

Primary practice location

505 Parnassus Ave # L1556
San Francisco, CA 94143-2204

Mailing address

Attn: Berkeley Clinic NP
510 17TH Street
Oakland, CA 94612-1553
Phone (510) 318-7117

Other practice location 1

510 17th St
Oakland, CA 94612-1553
Phone (510) 318-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 The Embarcadero
San Francisco, CA 94143-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032640CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780406157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: BERKELEY CLINIC NP",
            "address_2": "510 17TH STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121553",
            "telephone_number": "510-318-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE # L1556",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-502-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 17th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121553",
            "country_code": "US",
            "telephone_number": "510-318-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPHINE",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95032640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.