Active NPI
Gillian C. Lee, MD
- Internal Medicine Physician
- Mill Valley, CA
National Provider Identifier
1952489007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A81568
- Practice address
- 163 Miller Ave
Suite 1
Mill Valley, CA 94941-2759 - Phone
- (415) 388-8400
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | A81568 | CA | Primary |
Addresses
Primary practice location
163 Miller Ave
Suite 1
Mill Valley, CA 94941-2759
Mailing address
163 Miller Ave
Suite 1
Mill Valley, CA 94941-2759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A815680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81568 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1952489007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MILLER AVE",
"address_2": "SUITE 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 MILLER AVE",
"address_2": "SUITE 1",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412759",
"telephone_number": "415-388-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GILLIAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A81568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A815680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.