DR. CLARENCE MARCUS LEE JR. (NPI# 1144520032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144520032 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE MARCUS LEE JR. |
| Credential | M.D. |
| Practice Address |
15301 Warren Shingle Rd Beale Afb CA 95903-1907 |
| Practice Telephone | 5306344730 |
| Mailing Telephone | 5306344730 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2011-12-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101251049 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770092223 | Clarence Matthew Lee | Clinical Exercise Physiologist | 717 Wiget Ln, Walnut Creek, CA 94598-4304 | 2017-09-28 |
| 1447317292 | Clarence E. Lee | Dentist | 85-876 Farrington Hwy, Suite 202, Waianae, HI 96792-2498 | 2007-01-02 |
| 1538680624 | Clarence Lee | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2017-06-29 |
| Street Address |
15301 WARREN SHINGLE RD |
| City | BEALE AFB |
| State | CA |
| Zip Code | 95903-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182047 | Sadina Lynn Brecheisen-beach | Nurse Practitioner | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2005-08-24 |
| 1407472111 | Shalaleh Khoei | Dietitian, Registered | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2020-06-18 |
| 1902443476 | Thuy-trang Thu Lam | Pharmacist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-12-04 |
| 1558920819 | Madison Lee Kernick | Dentist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2019-06-11 |
| 1669039525 | Dustin Lansing Bennett | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-05-24 |
| 1760944607 | David Chou | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2019-04-01 |
| 1548721244 | Nicolas Lara | Internal Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2019-03-26 |
| 1265901920 | Brianna Lee Holmes | Pharmacist | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2018-11-24 |
| 1861973513 | Ryan Joel Banci Mintalar | Physician Assistant | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2018-08-21 |
| 1336634823 | Erika Jennifer Reid | Social Worker | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2018-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575969 | Linda Lee Currier | Physical Therapist | 9 Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-11-16 |
| 1700984853 | Kimberly D Kumer | Psychiatry & Neurology | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-09-20 |
| 1780637124 | Lillie M Mells | Social Worker | 9mdos/sgoh, 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2006-05-18 |
| 1003109844 | Jerrica Marie Wild | Military Health Care Provider | 15301 Warren Shingle Road, Beale Afb, CA 95903 | 2011-05-26 |
| 1962413773 | William F Nakashima | Internal Medicine | 414 G St, Suite 106, Marysville, CA 95903 | 2006-08-10 |
| 1417999228 | Frank Peter Baccelli | Dentist | 15337 Warren Shingle Rd, Beale Afb, CA 95903-1905 | 2006-06-13 |
| 1245389071 | Kelly Neil West | Family Medicine | 9th Medical Group, 15301 Warren Shingle Road, Beale Afb, CA 95903-1907 | 2007-01-10 |
| 1912456369 | Martha Lawder | Dietitian, Registered | 15301 Warren Shingle Road, Beale, CA 95903-1907 | 2016-09-27 |
| 1487799755 | Dianna M. Garbett | Counselor | 15301 Warren Shingle Road, 9 Mdos Sgohf, Beale Afb, CA 95903-1907 | 2007-02-21 |
| 1770027807 | Maura Scolese | Physical Therapist | 3386 Loma Dr, Beale Afb, CA 95903-2122 | 2016-12-08 |
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| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306178900 | Kourtni Starkey | Preventive Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903 | 2010-02-05 |
| 1023269107 | Richard Kevin Luger | Preventive Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2008-10-07 |
| 1093973323 | Charles Howard | Preventive Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2008-05-22 |
| 1275520926 | Joseph Connolly IIi | Preventive Medicine | 15301 Warren Shingle Rd, 9 Mdg, Beale Afb, CA 95903-1907 | 2005-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149189 | Nguyen Vinh Toan Tran | Preventive Medicine | 3808 E Summitridge Ln, Orange, CA 92867-2122 | 2017-08-10 |
| 1144592098 | Joel Andrew Fulkerson | Preventive Medicine | Bldg 22190, Camp Pendleton, CA 92058-2111 | 2012-02-07 |
| 1427373398 | Gregg Alexander Bendrick | Preventive Medicine | 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 | 2010-04-02 |
| 1740437425 | Norman Franklin Seidenverg | Preventive Medicine | 2030 Airport Rd, Napa, CA 94558-6208 | 2008-08-25 |
| 1790830347 | Morton Leon Gubin | Preventive Medicine | 210 N El Cielo Rd, Palm Springs, CA 92262-6936 | 2007-01-24 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1932257094 | Timothy Renfrew Oeltmann | Preventive Medicine | Marine Aircraft Group 39, Medical, Camp Pendleton, CA 92055 | 2007-01-08 |
| 1750449294 | Sanatkumar Krishnaram Joshi | Preventive Medicine | 1485 Graeber Street, Suite 9 193 Medical Group, March Jarb, CA 92518-1620 | 2006-12-05 |
| 1184680365 | Yolanta Petrofsky | Preventive Medicine | 2470 Hilborn Road, Suite 110, Fairfield, CA 94534 | 2006-04-25 |
| 1124081971 | James Randall Elliott | Preventive Medicine | 95 Amds/sgp, 55 N. Wolfe Ave., Edwards Afb, CA 93524-0001 | 2006-04-11 |
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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.