DR. AUSTIN LIAO LEE (NPI# 1467910331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467910331 |
| Entity Type | Individual |
| Full Name | DR. AUSTIN LIAO LEE |
| Credential | PHARM.D. |
| Practice Address |
1760 W 16th St San Bernardino CA 92411-1160 |
| Mailing Address |
1326 Bentley Ct West Covina CA 91791-4320 |
| Practice Telephone | 6264731246 |
| Mailing Telephone | 6263736817 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79140 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY | 79140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074700 | Austin Tyler Lee | Counselor | 3751 Stocker St, View Park, CA 90008-5101 | 2020-02-04 |
| 1982165825 | Austin Jae Mhan Lee | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 | 2019-03-25 |
| 1669950317 | Austin Lee | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-04 |
| 1750873600 | Austin Martin Lee | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-06-05 |
| 1851769491 | Austin Lee | Physician Assistant | 5701 N West Ave, Fresno, CA 93711 | 2015-09-14 |
| 1518341320 | Austin Lee | Dentist | 26 Puritan Rd, Swampscott, MA 01907-2726 | 2015-07-13 |
| 1922356914 | Austin Lee | Optometrist | 1033 Highland Ave, National City, CA 91950-3515 | 2012-08-22 |
| 1124348719 | Austin Lee | Anesthesiology | 1709 Dryden Rd # 5.70, Houston, TX 77030-2400 | 2010-06-04 |
| Street Address |
1760 W 16TH ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748081 | Vibra Hospital of San Bernardino, LLC | Rehabilitation Hospital | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2005-08-29 |
| 1457971566 | Jamie Lou Mejorada Sabellon | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2020-04-17 |
| 1306497144 | Megan Cherene | Speech-Language Pathologist | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2019-09-23 |
| 1780182816 | Socal Rehab Consultants Inc | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2018-01-23 |
| 1134511249 | Rehabology | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2015-02-26 |
| 1033413604 | Kimberly A Johnson | Social Worker | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2010-12-22 |
| 1003040270 | Kar-wai Yung | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2009-05-04 |
| 1912928565 | Renaissance Radiology Medical Group, Inc | Radiology | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2006-07-21 |
| 1295798213 | Van Tze Chen | Physical Medicine & Rehabilitation | 1760 W 16th St, San Bernardino, CA 92411-1160 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592670 | Amanda Messrah | Pharmacist | 3010 W Meyers Rd, San Bernardino, CA 92407-2082 | 2020-09-08 |
| 1689172447 | Robert Edward Beeman | Pharmacist | 355 E 21st St Ste A, San Bernardino, CA 92404-4851 | 2018-01-26 |
| 1417460247 | Nguyen D Dao | Pharmacist | 1033 N Waterman Ave Ste C, San Bernardino, CA 92410-3808 | 2017-11-15 |
| 1861937138 | Theresa Cherisse Taylor | Pharmacist | 618 S Mount Vernon Ave, Suite 136, San Bernardino, CA 92410-2762 | 2016-12-22 |
| 1851766505 | Afrouz Nikmanesh | Pharmacist | 1099 E. Hospitality Dr., San Bernardino, CA 92408 | 2015-12-07 |
| 1316319320 | Helen Phuoc Dien Tran | Pharmacist | 735 Carnegie Dr Ste 250, San Bernardino, CA 92408-3592 | 2015-10-29 |
| 1841676657 | Danielle Lenee Davis | Pharmacist | 1455 East 3rd St, San Bernardino, CA 92408-1719 | 2015-08-04 |
| 1811397086 | Xiaoyun Yang Peng | Pharmacist | 1535 S D St Ste 230, San Bernardino, CA 92408-3253 | 2014-08-25 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1649537762 | Edward V Guerrero | Pharmacist | 10990 East Hospitality Lane, San Bernardino, CA 92408 | 2012-04-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.