Individual provider Active NPI

Christopher Elliot Lee

  • Emergency Medicine Physician
  • Arcata, CA
National Provider Identifier
1821032962
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G31361 Issued in CA
Practice address
3798 Janes Rd Ste 18
Arcata, CA 95521-4746
Phone
(707) 822-0384
Fax
(707) 822-4429
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G31361 CA Primary

Addresses

Primary practice location

3798 Janes Rd Ste 18
Arcata, CA 95521-4746

Mailing address

3798 Janes Rd Ste 18
Arcata, CA 95521-4746
Phone (707) 822-0384

Other identifiers 1

IdentifierTypeStateIssuer
00G313610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000425 CA Practitioner - Internal Medicine 6800892308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pacific Cardiology MedicalGroup PAC ID 8426113341, 21 clinicians

Practice addresses (Care Compare)

3800 Janes Rd
Arcata, CA 95521-4742
Phone 70782272203358

Hospital & facility affiliations

  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
American Hospital Management Corporation CurrentSince Jul 8, 2017 Accepting new patients
American Hospital Management Corporation CurrentSince Jul 8, 2017 Accepting new patients
North Pacific Cardiology Medical CurrentSince Feb 18, 2010 Accepting new patients
David S Gans MD Past Accepting new patients

Locations

3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335

3798 Janes Rd
Ste 20
Arcata, CA 95521
Phone (707) 822-4894

3798 Janes Rd
Ste 3
Arcata, CA 95521
Phone (707) 826-2222

3798 Janes Rd
Ste 6
Arcata, CA 95521
Phone (707) 825-2663

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

3798 Janes Rd
Ste 18
Arcata, CA 95521
Phone (707) 822-0384

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8316/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1821032962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 18",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214746",
            "telephone_number": "707-822-0384",
            "fax_number": "707-822-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 JANES RD STE 18",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214746",
            "telephone_number": "707-822-0384",
            "fax_number": "707-822-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G313610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.