Active NPI
Edmond Lee, MD
- Cardiovascular Disease Physician
- Sacramento, CA
National Provider Identifier
1790772861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G47887
- Practice address
- 500 University Ave.
Sacramento, CA 95825-6524 - Phone
- (916) 830-2000
- Fax
- (916) 830-2001
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G47887 | CA | Primary |
Addresses
Primary practice location
500 University Ave.
Sacramento, CA 95825-6524
Mailing address
500 University Ave.
Sacramento, CA 95825-6524
Phone (916) 830-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G478870 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern California Cardiology Associates Medical Group Inc | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1467444711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1790772861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE.",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256524",
"telephone_number": "916-830-2000",
"fax_number": "916-830-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY AVE.",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958256524",
"telephone_number": "916-830-2000",
"fax_number": "916-830-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDMOND",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G47887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G478870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.