Lee Brett Eisan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00G37664 Issued in CA

Practice address

907 San Ramon Valley Blvd
Suite # 102
Danville, CA 94526

Phone

(925) 837-7409

Fax

(925) 837-5821

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Irvine California College of Medicine, 1977

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lee Brett Eisan M.D. Inc

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1891093670
  Medicare reassignment Authorized official

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

• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871674333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD # 102",
            "address_2": "SUITE # 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "925-837-7409",
            "fax_number": "925-837-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE # 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "925-837-7409",
            "fax_number": "925-837-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISAN",
        "first_name": "LEE",
        "middle_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00G37664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Duong
• Melissa Dwinnells
• East Bay Cardiovascular and Thoracic Associates Inc.
• East Bay Premier Medical
• East Bay Pulmonary Specialists Inc.
• Elite MD, Inc
• Samantha Rose Ellis, M.D.
• Nashwa Aziz Elrashidy, DDS
• Emeritus Corporation
• Kaitlin Endo, PT, DPT

• Internal Medicine Physician in Danville, CA
• Providers in Danville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.