Individual provider Active NPI

Joo Hyun Lee

  • Dentist
  • Foster City, CA
National Provider Identifier
1932844149
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108719 Issued in CA
Practice address
1289 E Hillsdale Blvd Ste 7
Foster City, CA 94404-1219
Phone
(650) 341-3189
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DL15243 MA
Dentist 122300000X 108719 CA Primary

Addresses

Primary practice location

1289 E Hillsdale Blvd Ste 7
Foster City, CA 94404-1219

Mailing address

1289 E Hillsdale Blvd Ste 7
Foster City, CA 94404-1219

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202000321 CA Practitioner - Dentist 0547748485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7677 Oakport St
Suite 1200
Oakland, CA 94621-1946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108719CAMDMarriage & Family Therapist
DL15243MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jan 31, 2026 Accepting new patients
North East Medical Services CurrentSince Jun 23, 2025 Accepting new patients
Alameda Health System CurrentSince Jan 31, 2026 Accepting new patients

Locations

1850 Sullivan Ave
Ste 190
Daly City, CA 94015
Phone (650) 550-3923

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1932844149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 E HILLSDALE BLVD STE 7",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 E HILLSDALE BLVD STE 7",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041219",
            "telephone_number": "650-341-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOO HYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "DL15243",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

Verify at the official NPI Registry.