Active NPI
Charlotte Ann Lee, M.D.
- Health Educator
- San Diego, CA
National Provider Identifier
1790125979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 04-27077
- Practice address
- 4630 Vereda Mar del Sol
San Diego, CA 92130-8627 - Phone
- (913) 706-8512
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 04-27077 | KS | Primary |
Addresses
Primary practice location
4630 Vereda Mar del Sol
San Diego, CA 92130-8627
Mailing address
4630 Vereda Mar del Sol
San Diego, CA 92130-8627
Phone (913) 706-8512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-27077 | KS | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1790125979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 VEREDA MAR DEL SOL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921308627",
"telephone_number": "913-706-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 VEREDA MAR DEL SOL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921308627",
"telephone_number": "913-706-8512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHARLOTTE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "KS",
"license": "04-27077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.