Jennifer Y. Lee
Radiology (Diagnostic Radiology)

Address: 795 Willow Rd, Buliding 334, C228, Menlo Park, CA 94025-2539
Phone: 6506906849

Jennifer Y. Lee (NPI# 1265728430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1265728430
Entity Type Individual
Full Name Jennifer Y. Lee
Credential M.D.
Gender Female
Practice Address 795 Willow Rd
Buliding 334, C228
Menlo Park
CA 94025-2539
Practice Telephone 6506906849
Practice Fax Number 6506149880
Mailing Address 795 Willow Rd
Buliding 334, C228
Menlo Park
CA 94025-2539
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-06-25
Last Update Date 2017-04-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care MT199810 PA
No 2085B0100X Radiology · Body Imaging Allopathic & Osteopathic Physicians 141262 CA
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 141262 CA
No 2085U0001X Radiology · Diagnostic Ultrasound Allopathic & Osteopathic Physicians 141262 CA

Other Providers JENNIFER LEE

NPI Name Taxonomy Address Enumeration
1205323847 Jennifer Lee Occupational Therapist 2429 22nd Ave, San Francisco, CA 94116-2436 2018-04-19
1114426053 Jennifer Lauren Lee Nurse Practitioner 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 2018-02-06
1689107526 Jennifer Lee Student in an Organized Health Care Education/Training Program 401 Parnassus Avenue, Box-0984, San Francisco, CA 94143-0984 2017-04-07
1073065058 Jennifer Lee Dental Hygienist 8832 Dakota Ave, Garden Grove, CA 92844-2016 2016-10-26
1841644879 Jennifer Lee Occupational Therapy Assistant 10995 Sunshine Dr, Chardon, OH 44024-9637 2016-04-15
1346604394 Jennifer Lee Student in an Organized Health Care Education/Training Program 4th & Willow Streets, 2nd Floor, Lebanon, PA 17042 2016-04-06
1033580642 Jennifer Lee Pharmacist 5609 206th St, Oakland Gardens, NY 11364-1724 2015-10-08
1760852313 Jennifer Lynn Lee Nurse Practitioner 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 29582-2224 2015-09-25
1578947503 Jennifer Nicole Lee Behavior Analyst 375 Country Club Dr Apt 9, Simi Valley, CA 93065-6692 2015-07-20
1053708305 Jennifer Lee Student in an Organized Health Care Education/Training Program 125 Prospect Ave, Lynbrook, NY 11563-3932 2015-04-23

Physician Overview

NPI 1265728430
PAC ID by PECOS 1557654175
Professional Enrollment ID I20160720000286
Full Name Jennifer Lee
Organization Legal Name UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Phone Number 4152065871
Gender F
Graduation Year 2011
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 5496668410
Number of Group Practice Members 418
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050454 UCSF MEDICAL CENTER
050228 SAN FRANCISCO GENERAL HOSPITAL

Office Location

Street Address 795 WILLOW RD
BULIDING 334, C228
City MENLO PARK
State CA
Zip Code 94025-2539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295168771 Melissa A Meek Social Worker 795 Willow Rd, Menlo Park, CA 94025-2539 2013-08-19
1417436122 Erin Elena Martinez Psychologist 795 Willow Rd, Menlo Park, CA 94025-2539 2018-08-13
1952815987 Melinda Sue Ward Social Worker 795 Willow Rd, Menlo Park, CA 94025-2539 2017-11-29
1992218234 Ashley Bauer Psychologist 795 Willow Rd, Menlo Park, CA 94025-2539 2017-11-08
1740790898 Julia Mwangi Pharmacist 795 Willow Rd, Menlo Park, CA 94025-2539 2017-10-03
1083134993 Eric Angelo Davis Counselor 795 Willow Rd, 332, Menlo Park, CA 94025 2017-06-21
1699203364 Sara Nabhan Shati Nabhan Optometrist 795 Willow Rd, Menlo Park, CA 94025-2539 2017-05-25
1730622374 Robert Paul Mccloskey Counselor 795 Willow Rd, Menlo Park, CA 94025-2539 2016-11-30
1477096295 Donald Ray Walker Counselor 795 Willow Rd, Menlo Park, CA 94025-2539 2016-11-28
1558812453 Manpreet Kaur Deol Counselor 795 Willow Rd, Bldg 332, Menlo Park, CA 94025-2539 2016-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538639174 Care Indeed, Inc. Home Health 890 Santa Cruz Ave., Menlo Park, CA 94025 2018-11-27
1639644370 Wendy Figone Massage Therapist 575 Gilbert Ave., Menlo Park, CA 94025 2018-10-09
1720576473 Sara Joanne Sameshima Physician Assistant 32 Lorelei Ln, Menlo Park, CA 94025 2018-04-27
1437667540 Christina E Kang Nutritionist 3639 Haven Ave Unit A424, Menlo Park, CA 94025 2018-01-11
1528518032 Thu Hua Optometrist 3520 Alameda De Las Pulgas, Menlo Park, CA 94025 2016-10-07
1790172955 Gregory Ross Marriage & Family Therapist 1040 Noel Dr Ste 209, Menlo Park, CA 94025 2015-04-24
1184013773 Yekta Rafaty Dds, Inc. Dentist 888 Oak Grove Ave., Suite #2, Menlo Park, CA 94025 2015-01-20
1174931760 Ellen Magee Stockhausen Physical Therapist 68 Willow Rd, Menlo Park, CA 94025 2014-07-27
1841608569 Celeste Phaneuf Birkhofer Counselor 1220 University Dr #102, Menlo Park, CA 94025 2014-07-25
1003232158 Personalis, Inc. Clinical Medical Laboratory 1350 Willow Road, Suite 202, Menlo Park, CA 94025 2014-03-13
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306167960 Salil Soman Radiology 150 Alma St, Unit 204, Menlo Park, CA 94025-3742 2010-06-17
1770515694 May Lee Yong Radiology 795 Willow Rd Bldg 334, Menlo Park, CA 94025-2539 2006-07-07
1881960078 Stephanie Go Radiology 795 Willow Rd, Menlo Park, CA 94025-2539 2012-04-01
1447558804 Srikant Reddy Sadda Radiology 795 Willow Rd, 334 Core Building; 2nd Floor, Room C-218, Menlo Park, CA 94025-2539 2011-03-09
1790928265 Andreia Roxana Gafton Radiology 795 Willow Rd, Menlo Park, CA 94025-2539 2009-04-14
1043487176 Zareena Jabeen Hussain Radiology 795 Willow Rd, Va National Teleradiology Program, Menlo Park, CA 94025-2539 2008-05-08
1881868396 Alexander Phong Nguyen Radiology 795 Willow Rd, Menlo Park, CA 94025-2539 2008-04-15
1770765729 Scott Brandman Radiology 795 Willow Rd, Building 334, Room C200-o, Menlo Park, CA 94025-2539 2007-12-02
1023290582 Heidi Dambach Radiology 795 Willow Rd, Building 334; Room C200-p, Menlo Park, CA 94025-2539 2007-11-27
1184825416 Antonio Granados Alvarez Radiology 795 Willow Rd, 334 Core Building 2nd Floor, Menlo Park, CA 94025-2539 2007-05-31
Find all providers in MENLO PARK

Competitor

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City MENLO PARK
Zip Code 94025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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