KEVIN K LEE (NPI# 1245230333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245230333 |
| Entity Type | Individual |
| Full Name | KEVIN K LEE |
| Credential | MD |
| Practice Address |
1133 E Stanley Blvd Ste 101 Livermore CA 94550-4270 |
| Practice Telephone | 9254544280 |
| Mailing Telephone | 9254544280 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A73871 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A73871 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A73871 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A738710 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1133 East Stanley Blvd #117, Livermore, CA 94550 | 9253718885 | 9253718884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668639 | Kevin Lee | Occupational Therapist | 1417 Royal Grove Ln, Port Orange, FL 32129-8620 | 2020-10-28 |
| 1689292047 | Kevin Kuang Lee | Dentist | 2341 Toyon Way, San Bruno, CA 94066-1937 | 2020-07-11 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1376001925 | Kevin Lee | Nurse Anesthetist, Certified Registered | 305 N Martin Ave, Tucson, AZ 85721-0001 | 2019-03-03 |
| 1558848952 | Kevin Lee | Acupuncturist | 3775 Venture Dr Bldg N, Duluth, GA 30096-5102 | 2018-07-27 |
| 1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
| 1437427952 | Kevin Dale Lee | Counselor | 4750 S Harvard Ave, Suite #81, Tulsa, OK 74135-3031 | 2011-12-12 |
| 1275855579 | Kevin K Lee | Pharmacist | 441 Valley Brook Ave, Lyndhurst, NJ 07071-1935 | 2010-02-28 |
| 1558543736 | Kevin Seokkyu Lee | Dentist | 1 Barstow Rd Ste P23, Great Neck, NY 11021-3501 | 2007-11-29 |
| 1134321516 | Kevin Kwonki Lee | Dentist | 22342 Avenida Empresa Ste 285, Rancho Santa Margarita, CA 92688-2162 | 2007-06-05 |
| Street Address |
1133 E STANLEY BLVD STE 101 |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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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.