DR. JENNIFER M LEE (NPI# 1144412446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144412446 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER M LEE |
| Credential | DPM |
| Practice Address |
800 Fairmount Ave Ste 419 Pasadena CA 91105 |
| Mailing Address |
800 Fairmount Ave Ste 419 Pasadena CA 91105-3154 |
| Practice Telephone | 6265670165 |
| Practice Fax Number | 6265670166 |
| Mailing Telephone | 6265670165 |
| Mailing Fax Number | 6265670166 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4687 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAQH | 11761480 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3008 Sillect Ave, Ste 120, Bakersfield, CA 933086360 | 6618323600 | 6613226249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713526 | Jennifer Lee | Massage Therapist | 11707 N Wall St, Spokane, WA 99218-2844 | 2020-09-02 |
| 1215557863 | Jennifer Lee | Student in an Organized Health Care Education/Training Program | 1175 Grand Concourse Dept Of, Bronx, NY 10452-8549 | 2020-04-23 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1366093916 | Jennifer Carrie Lee | Massage Therapist | 5135 Se 41st Ave, Portland, OR 97202-4234 | 2019-09-25 |
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1205323847 | Jennifer Amy 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 | Psychiatry & Neurology | 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 |
| Street Address |
800 FAIRMOUNT AVE STE 419 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659892578 | Sara Shirazi | Podiatrist | 959 E Walnut St Ste 220, Pasadena, CA 91106-5363 | 2017-06-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1528441391 | Jordan R Fein | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2015-06-29 |
| 1154434066 | Edward M. Jacquet IIi | Podiatrist | 5119 Fairmont Parkway, Suite B-2, Pasadena, TX 77505-3759 | 2006-08-16 |
| 1437154861 | Edward Alan Helfand | Podiatrist | 960 E Green St Ste 254, Pasadena, CA 91106 | 2005-06-13 |
| 1508427972 | Ktp Foot and Ankle Inc | Podiatrist | 1855 N Fair Oaks Ave # 200, Pasadena, CA 91103-1620 | 2019-06-26 |
| 1780140764 | Jordan R. Fein Dpm | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2019-02-14 |
| 1376035063 | Jordan R. Fein Dpm, Ms | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2018-05-30 |
| 1154718021 | Kevin Thang Dinh Pham | Podiatrist | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2015-04-18 |
| 1740536598 | Hina Shafqat Hassan | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3136 | 2012-07-31 |
| Find all providers in PASADENA | ||||
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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.