Lee Brett Eisan M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37664 Issued in CA

Legal business name

LEE BRETT EISAN M.D. INC

Practice address

907 San Ramon Valley Blvd
#102
Danville, CA 94526-4036

Phone

(925) 837-7409

Fax

(925) 837-5821

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Lee Brett Eisan, M.D.NPI 1871674333

Title

President

Phone

(925) 837-7409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Brett Eisan, MD

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1871674333
  Medicare reassignment Authorized official
• Margo Estrin, M.D.

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1891840096
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1891093670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAN RAMON VALLEY BLVD",
            "address_2": "#102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264036",
            "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": "#102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264036",
            "telephone_number": "925-837-7409",
            "fax_number": "925-837-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE BRETT EISAN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "EISAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-837-7409",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Doan Le, DDS
• Michelle Le
• Trisha Ann Leach
• Lauren Lederer, LMFT
• Jade Ledgerwood
• Caitlyn Lee
• Camarin Lee
• Delwyn Lee, DC
• Han Lee
• Kelly Lee

• 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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.