Individual provider Active NPI

Sang Hoon Lee, M.D.

  • Hematology & Oncology Physician
  • San Jose, CA
National Provider Identifier
1851346100
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A33164 Issued in CA
Practice address
100 Oconnor Dr
Suite 25
San Jose, CA 95128-1647
Phone
(408) 425-0200
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A33164 CA Primary

Addresses

Primary practice location

100 Oconnor Dr
Suite 25
San Jose, CA 95128-1647

Mailing address

501 W Hacienda Ave
# E2
Campbell, CA 95008-6543
Phone (408) 425-0200

Other names 1

  • Dr. Sang-Hoon Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031125000505 CA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 9931003621 Practice locations: Millbrae, CA
I20130702000001 DC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9931003621 Practice locations: Fairfax Station, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A33164CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Family Chiropractic a Bravo Inc. PastSince Oct 14, 2022 Accepting new patients
Jennifer Murphy DC Chiropractic Inc PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1851346100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W HACIENDA AVE",
            "address_2": "# E2",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086543",
            "telephone_number": "408-425-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR",
            "address_2": "SUITE 25",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281647",
            "telephone_number": "408-425-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG HOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A33164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANG-HOON",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.