Active NPI
Susan Lee
- Psychiatric Pharmacist
- Orange, CA
National Provider Identifier
1811534878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 78117
- Practice address
- 4201 W Chapman Ave
Orange, CA 92868-1505 - Phone
- (714) 748-6281
- NPI assigned
- Dec 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 78117 | CA | Primary |
Addresses
Primary practice location
4201 W Chapman Ave
Orange, CA 92868-1505
Mailing address
4201 W Chapman Ave
Orange, CA 92868-1505
Phone (714) 748-6281
Other practice location 1
710 S Broadway Ste 300
Walnut Creek, CA 94596-5229
Phone (562) 818-1140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78117 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1811534878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 W CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681505",
"telephone_number": "714-748-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 W CHAPMAN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928681505",
"telephone_number": "714-748-6281"
}
],
"practiceLocations": [
{
"address_1": "710 S Broadway Ste 300",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945965229",
"country_code": "US",
"telephone_number": "562-818-1140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "78117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.