Active NPI
Damon Lee, MD
- Internal Medicine Physician
- Daly City, CA
National Provider Identifier
1922095256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A357050
- Practice address
- 1800 Sullivan Ave
Suite 304
Daly City, CA 94015-2228 - Phone
- (650) 756-0110
- Fax
- (650) 756-4475
- NPI assigned
- Oct 3, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A357050 | CA | Primary |
Addresses
Primary practice location
1800 Sullivan Ave
Suite 304
Daly City, CA 94015-2228
Mailing address
PO Box 3556
Daly City, CA 94015-0556
Phone (650) 756-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A357050 | 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 |
|---|---|---|---|---|
| I20100429000840 | CA | Practitioner - Internal Medicine | 7315074937 | Practice locations: Daly City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Davis School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1800 Sullivan Ave
Suite 304
Daly City, CA 94015-2223
Phone (650) 756-0110
1800 Sullivan Ave RM
Suite 304
Daly City, CA 94015-2223
Hospital & facility affiliations
- Anx Home Healthcare
- Alphacare Home Health
- Ahmc Seton Medical Center
- Peninsula Medical Center
- Pacifica Nursing and Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A357050 | CA | MD | Internal Medicine Physician |
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Bruno, CA
- NPI 1134768294
-
- Home Health Agency
- Daly City, CA
- NPI 1073769543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1922095256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3556",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940150556",
"telephone_number": "650-756-0110",
"fax_number": "650-756-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE",
"address_2": "SUITE 304",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152228",
"telephone_number": "650-756-0110",
"fax_number": "650-756-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DAMON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A357050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A357050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.