NPIMap

Individual provider Active NPI

Steven Eugene Lee, MD

  • Anesthesiology Physician
  • Manteca, CA
National Provider Identifier
1962567131
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G54155 Issued in CA
Practice address
1205 E North St
Manteca, CA 95336
Phone
(209) 823-3111
NPI assigned
Dec 27, 2006
Last updated
May 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G54155 CA Primary

Addresses

Primary practice location

1205 E North St
Manteca, CA 95336

Mailing address

4347 Portage St NW Ste 102
North Canton, OH 44720-7371
Phone (800) 527-0336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000684 CA Practitioner - Anesthesiology 0446381735 Reassigns benefits to 4 organizations
Practice locations: Aptos, CA; Watsonville, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Stanford University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Cummins Dr
Suite D
Modesto, CA 95358-6403

1601 Cummins Dr D
Modesto, CA 95358-6411

167 El Pinar
La Selva Beach, CA 95076-1509

2100 Powell St
Suite 900
Emeryville, CA 94608-1844

2423 W March LN
Suite 100
Stockton, CA 95207-8250

3275 Aptos Rancho Rd
Suite 1a
Aptos, CA 95003-3971
Phone (831) 662-3890

4347 Portage St NW
Suite 102
North Canton, OH 44720-7371

75 Neilson St
Watsonville, CA 95076-2468
Phone (831) 724-4741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54155CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2015 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince May 4, 2015 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2015 Accepting new patients
Emergency Medical Group Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1962567131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 PORTAGE ST NW STE 102",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207371",
            "telephone_number": "800-527-0336",
            "fax_number": "714-973-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E NORTH ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "209-823-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVEN",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G54155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.