DR. STEPHEN ROBERT LEE (NPI# 1093742652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093742652 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ROBERT LEE |
| Credential | DDS |
| Practice Address |
480 Alta Rd San Diego CA 92179-0001 |
| Mailing Address |
830 Cabrillo Ave Coronado CA 92118-2429 |
| Practice Telephone | 6196616500 |
| Practice Fax Number | 6196717580 |
| Mailing Telephone | 6194378842 |
| Mailing Fax Number | 6195220417 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34515 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370581 | Stephen Alexander Lee | Student in an Organized Health Care Education/Training Program | 3127 Umatilla St Apt 2, Denver, CO 80211-5638 | 2020-03-08 |
| 1720557762 | Stephen Lee | Pharmacist | 117 E Live Oak Ave Ste 101, Arcadia, CA 91006-5271 | 2018-11-20 |
| 1669907325 | Stephen Lee | Emergency Medicine | 1005 Dr. D B Todd Jr. Blvd., Old Hosp. Bldg., 3rd Floor, Nashville, TN 37208-1224 | 2017-05-01 |
| 1891151684 | Stephen Emerson Lee | Surgery | 4951 Shoreline Way, Oxnard, CA 93035-2840 | 2016-01-08 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| 1750592812 | Stephen Monroe Lee | Music Therapist | 5497 Twin Oak Dr, Douglasville, GA 30135-4076 | 2007-05-24 |
| 1497968267 | Stephen Sheng-hao Lee | Dentist | 6550 S. Cass Avenue, Westmont, IL 60559 | 2007-05-08 |
| 1124146816 | Stephen J Lee | Chiropractor | 111 W Maple Ave, Langhorne, PA 19047-2130 | 2007-03-27 |
| 1316076490 | Stephen Junho Lee | Naturopath | 777 N Arizona Ave Ste 10, Chandler, AZ 85225-6739 | 2007-03-05 |
| 1215062872 | Stephen C Lee | Pharmacist | 1400 Linda Mar Shopping Ctr, Pacifica, CA 94044-3340 | 2007-02-23 |
| Street Address |
480 ALTA RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452874 | Ryan Anthony Barenchi | Family Medicine | 480 Alta Rd, San Diego, CA 92179-0001 | 2006-01-23 |
| 1700418878 | Nadia Hortencia Camarillo | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2020-02-06 |
| 1083265367 | Essence Dawson | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2019-09-27 |
| 1689184905 | Rushton Arthur Backer | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-10-02 |
| 1285164269 | Colleen Marie Strahan | Pharmacist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-06-13 |
| 1356892491 | Lacey Levitt | Psychologist | 480 Alta Rd, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2016-10-24 |
| 1609228436 | Heather Mcgee | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-07-05 |
| 1386095453 | Shannon Moore | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-06-29 |
| 1033565049 | Joneka Clayton | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-05-09 |
| 1740642560 | Jennifer Zehe | Student in an Organized Health Care Education/Training Program | 480 Alta Rd, San Diego, CA 92179-0001 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169005 | Corrections and Rehabilitation | Pharmacy | 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 | 2020-03-12 |
| 1508104928 | Paul Hippaka | Social Worker | 408 Alta Road, San Diego, CA 92179 | 2013-01-18 |
| 1205462769 | Corrections and Rehabilitation | Pharmacy | 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 | 2020-03-17 |
| 1104343946 | Ruth Ann Villasenor | Social Worker | 480 Alta Road, San Diego, CA 92179 | 2017-08-23 |
| 1063657385 | Charles Fielding Marsh | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-12-16 |
| 1932374238 | John Charles Preston IIi | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-04-28 |
| 1730351370 | Malvern C Holland Jr. | Psychologist | 480 Alta Road, R.j. Donovan Correctional Facility, San Diego, CA 92179-0001 | 2008-03-24 |
| 1902171614 | Alan Greg Springer | Pharmacist | 480 Alta Road, San Diego, CA 92179-0001 | 2012-03-13 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
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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.