Active NPI
Audie L Lee, P.A.-C.
- Surgical Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA19457
- Practice address
- 2912 21St Ave
San Francisco, CA 94132-1504 - Phone
- (207) 632-0741
- NPI assigned
- Dec 18, 2007
- Last updated
- Apr 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1413 | NV | |
| Surgical Physician Assistant | 363AS0400X | PA19457 | CA | Primary |
Addresses
Primary practice location
2912 21St Ave
San Francisco, CA 94132-1504
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other practice location 1
3150 N Tenaya Way Ste 260
Las Vegas, NV 89128-0459
Phone (027) 962-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0095280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400
1667 Dominican Way
Suite 230
Santa Cruz, CA 95065-1560
Phone (831) 458-6288
3838 California St
San Francisco, CA 94118-1506
550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19457 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter West Bay Medical Foundation | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455
1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2400 Samaritan Dr
Ste 203
San Jose, CA 95124
Phone (408) 369-5600
2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870
2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
1667 Dominican Way
Ste 230
Santa Cruz, CA 95065
Phone (831) 458-6288
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- alee65946@direct.umcsn.com
- alee691489@hisp.ehr.sutterhealth.org
- audie.lee@hca3.eclinicaldirectplus.com
Organizations & group practices 11
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Sutter Samaritan Surgery Center
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1033817168
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
-
- Ambulatory Surgical Clinic/Center
- Mountain View, CA
- NPI 1982845186
-
dba Palo Alto Medical Foundation
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
dba ACV-Las Vegas
- Interventional Cardiology Physician
- North Las Vegas, NV
- NPI 1063047736
-
- Ambulatory Surgical Clinic/Center
- San Carlos, CA
- NPI 1164840088
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1306241534
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Sutter Pacific Medical Foundation
- Family Medicine Physician
- San Francisco, CA
- NPI 1104852789
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Menlo Park Surgical Hospital
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1972787695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 21ST AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321504",
"telephone_number": "207-632-0741"
}
],
"practiceLocations": [
{
"address_1": "3150 N Tenaya Way Ste 260",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280459",
"country_code": "US",
"telephone_number": "027-962-5920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "AUDIE",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1413",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA19457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0095280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.