JOHN JOONSOO LEE (NPI# 1073864708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073864708 |
| Entity Type | Individual |
| Full Name | JOHN JOONSOO LEE |
| Practice Address |
1617 Valdora St #13 Davis CA 95618-6395 |
| Practice Telephone | 4089669372 |
| Mailing Telephone | 4089669372 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169850 | John Lee | Acupuncturist | 14 E Homestead Ave, Palisades Park, NJ 07650-1533 | 2019-02-05 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1710409446 | John Hans Lee | Dentist | 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 | 2017-07-14 |
| 1750820700 | John Carlton Lee | Speech-Language Pathologist | 1261 N Laurel Ave Apt 3, West Hollywood, CA 90046-5131 | 2017-02-22 |
| 1154879401 | John Dongyeop Lee | Acupuncturist | 11 E 36th St Ste 901, New York, NY 10016-3368 | 2016-09-15 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1982071577 | John Jonghyun Lee | Physical Therapist | 2 River Street Ext Apt 10, Little Ferry, NJ 07643-1112 | 2015-08-31 |
| 1134511165 | John David Lee | Physical Therapy Assistant | 1552 Mariner Ct, Lakeland, FL 33803-4284 | 2015-02-27 |
| 1508261264 | John Keunhee Lee | Dentist | 3300 E 1st Ave Ste 580, Denver, CO 80206-5818 | 2014-10-23 |
| 1932549607 | John Jaewoo Lee | Dentist | 7599 Garth Rd Ste 800, Baytown, TX 77521-7720 | 2013-06-26 |
| Street Address |
1617 VALDORA ST #13 |
| City | DAVIS |
| State | CA |
| Zip Code | 95618-6395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1437616349 | Dagon Jones Dds Inc. | Dentist | 2800 5th Street, Suite 100, Davis, CA 95618 | 2019-02-27 |
| 1265938484 | Martel Elizabeth Costa | Nurse Practitioner | 1909 Galileo Ct Ste A, Davis, CA 95618 | 2018-04-05 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1700103314 | Daren Allen Casagrande | Counselor | 315 Mace Blvd, Davis, CA 95618 | 2010-04-23 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1356463004 | Vincent & Associates | Speech-Language Pathologist | 3560 J Street, Suite 1, Sacramento, CA 95618 | 2007-04-04 |
| 1316075138 | New Life Clinic | Acupuncturist | 1736 Picasso Ave., Suite B, Davis, CA 95618 | 2007-03-01 |
| 1558419622 | Baoping Li | Acupuncturist | 1736 Picasso Ave, Suite B, Davis, CA 95618 | 2007-01-08 |
| Find all providers in zip 95618 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497029532 | Robert Alexander | Case Manager/Care Coordinator | 608 S 3rd St, Davis, OK 73030-3115 | 2012-03-07 |
| 1336461821 | Jennifer Deborah Dodd | Case Manager/Care Coordinator | 414 I St, Davis, CA 95616-4217 | 2010-02-24 |
| 1326697632 | Kathryn Anne Meldrum | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-09-09 |
| 1831748144 | Emily Wan | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-09-09 |
| 1073076790 | Kali Lynn Howe | Case Manager/Care Coordinator | 115 E Main St, Davis, OK 73030-1901 | 2019-04-09 |
| 1609334903 | Maria Rose Thommes | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-03-05 |
| 1780142273 | Elyssa Victoria Calderon | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2019-03-04 |
| 1639689391 | Erin Elizabeth Lutjens | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2017-10-09 |
| 1952822405 | Kevin Vang | Case Manager/Care Coordinator | 212 I Street, Davis, CA 95616 | 2017-07-05 |
| 1528598935 | Heather Lindsey Roth | Case Manager/Care Coordinator | 212 I St, Davis, CA 95616-4213 | 2017-06-18 |
| Find all providers in DAVIS | ||||
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| 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.