DR. MICHAEL DAVID LEE (NPI# 1013114933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013114933 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID LEE |
| Credential | M.D. |
| Practice Address |
15004 Innovation Dr San Diego CA 92128-3491 |
| Mailing Address |
10790 Rancho Bernardo Rd Mail Drop 4s-205 San Diego CA 92127-5705 |
| Practice Telephone | 8584871800 |
| Mailing Telephone | 8584871800 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C141193 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036.126487 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182172 | Michael Lee | Technician | 901 Summit St, Wheeling, WV 26003-3201 | 2020-10-19 |
| 1346848793 | Michael Lee | Physical Therapist | 360 W Ocean Blvd Apt 502, Long Beach, CA 90802-4608 | 2020-10-16 |
| 1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
| 1275025678 | Michael Lee | Registered Nurse | 27505 Tampa Ave Apt 57, Hayward, CA 94544-5111 | 2018-05-31 |
| 1952828709 | Michael Lee | Durable Medical Equipment & Medical Supplies | 4317 172nd St, Flushing, NY 11358-3320 | 2017-08-23 |
| 1811444680 | Michael Douglas Lee | Pharmacist | 1805 Sw Santa Barbara Pl, Cape Coral, FL 33991-3459 | 2016-09-08 |
| 1174902654 | Michael Lee | Dentist | 12400 E 40 Hwy, Independence, MO 64055-5929 | 2015-05-29 |
| 1669851556 | Michael Joo Lee | Student in an Organized Health Care Education/Training Program | 1077 Beacon St, Unit 11, Brookline, MA 02446-5672 | 2015-05-25 |
| 1639500325 | Michael Lee | Counselor | 32 Fordway St, Derry, NH 03038-2634 | 2013-12-05 |
| 1235572322 | Michael Anthony Lee Jr. | Pediatrics | 300 Longwood Ave Bch3066, Divison of Emergency Medicine, Boston, MA 02115-5724 | 2013-04-09 |
| Street Address |
15004 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376222 | Scripps Clinic Medical Group | Clinic/Center | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2005-12-08 |
| 1023642097 | Amy Joelle Chamberlain | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-27 |
| 1790318715 | Cameron Devany | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-18 |
| 1851924252 | Janelle Marie Wilson | Physical Therapy Assistant | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-14 |
| 1285267617 | Mitchell Russo | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1427681873 | Lucy Santillan | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1740813112 | Monique Munro Werner | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1003449422 | Margaret Ann Fuller | Occupational Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-13 |
| 1023641586 | Katie Jo Rodgers | Speech-Language Pathologist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| 1649802166 | Irina Keefer | Physical Therapist | 15004 Innovation Dr, San Diego, CA 92128-3491 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145138 | Vishal Verma Md Inc | Family Medicine | 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 | 2020-08-20 |
| 1225651508 | Charles N Le Medical Alliance, Professional Corp. | Family Medicine | 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 | 2020-05-21 |
| 1457992927 | Huong T L Nguyen Md Inc | Family Medicine | 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 | 2019-10-04 |
| 1265082838 | Jessica Lynn Ross | Family Medicine | 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 | 2019-09-16 |
| 1306406251 | Patrick Sweet Md PC | Family Medicine | 4460 Teralta Pl, San Diego, CA 92103-1247 | 2019-06-13 |
| 1225503048 | San Diego Health LLC | Family Medicine | 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 | 2018-10-08 |
| 1427553502 | Behrang Dehkordi Md Inc | Family Medicine | 444 W C St Ste 185, San Diego, CA 92101-3597 | 2018-03-29 |
| 1245767037 | Tam K Tran | Family Medicine | 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 | 2017-05-11 |
| 1912350455 | Ruben G Flores | Family Medicine | 2470 Pine Street, San Diego, CA 92103 | 2016-07-20 |
| 1396124145 | Chevon Alderson | Family Medicine | 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 | 2015-05-27 |
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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.