Active NPI
Christopher Elliot Lee
- Emergency Medicine Physician
- Arcata, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G31361
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G313610 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
3800 Janes Rd
Arcata, CA 95521-4742
Phone 70782272203358
Hospital & facility affiliations
- Mad River Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Hospital Management Corporation | Current | Accepting new patients | |
| American Hospital Management Corporation | Current | Accepting new patients | |
| North Pacific Cardiology Medical | Current | 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
- 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.
-
- General Acute Care Hospital
- Arcata, CA
- NPI 1518996040
-
- Internal Medicine Physician
- Arcata, CA
- NPI 1861689044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcata, CA
- NPI 1518996040
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.