DR. MASON Y. LEE (NPI# 1316007305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316007305 |
| Entity Type | Individual |
| Full Name | DR. MASON Y. LEE |
| Credential | DDS, APC |
| Practice Address |
750 Las Gallinas Ave Suite #207 San Rafael CA 94903-3438 |
| Practice Telephone | 4154725040 |
| Practice Fax Number | 4154725043 |
| Mailing Telephone | 4154725040 |
| Mailing Fax Number | 4154725043 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
42929 | CA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | A070735 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
750 LAS GALLINAS AVE SUITE #207 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416311 | Michael Gerald Dab | Dentist | 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903-3431 | 2005-06-01 |
| 1538784251 | Ivy Deap | Hearing Instrument Specialist | 750 Las Gallinas Ave, San Rafael, CA 94903-3438 | 2020-06-09 |
| 1447556402 | Theresa Kamler | Massage Therapist | 750 Las Gallinas Ave, Suite 202, San Rafael, CA 94903-3438 | 2011-02-08 |
| 1952607657 | Mark Drucker, D.p.m., A Professional Corporation | Podiatrist | 750 Las Gallinas Ave, Suite 115, San Rafael, CA 94903-3438 | 2011-01-28 |
| 1548492549 | Alan Brenner Kimelman Md Inc | Physical Medicine & Rehabilitation | 750 Las Gallinas Ave, San Rafael, CA 94903-3438 | 2009-08-10 |
| 1124252416 | Sutter West Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-05-14 |
| 1912146382 | Laura Wahpepah | Nurse Practitioner | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-02-09 |
| 1780857318 | Joseph H Greenberg Ltd A Medical Corp | Specialist | 750 Las Gallinas Ave, Suite 205, San Rafael, CA 94903-3438 | 2008-04-03 |
| 1881874709 | Bonnie Lynn Nickel | Ophthalmology | 750 Las Gallinas Ave, Suite 114, San Rafael, CA 94903-3438 | 2007-11-08 |
| 1821213109 | Melissa Emily Rinck | Dentist | 750 Las Gallinas Ave, Suite 215, San Rafael, CA 94903-3438 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983025 | Olena Norris Dds Dental Corporation | Oral & Maxillofacial Surgery | 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 | 2020-02-11 |
| 1306498829 | Henry Mayo Newhall Clinics, LLC | Oral & Maxillofacial Surgery | 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 | 2019-07-15 |
| 1396211926 | Fremont Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 39210 State St Ste 115, Fremont, CA 94538-1456 | 2018-10-22 |
| 1013495985 | Ned L. Nix, Dds, Inc | Oral & Maxillofacial Surgery | 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 | 2018-08-02 |
| 1811475759 | University of California Sfgh Medical Group | Oral & Maxillofacial Surgery | 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 | 2018-08-02 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1710354162 | Michael J. Belton Dds,md Inc. | Oral & Maxillofacial Surgery | 2045 Compton Ave Ste 102, Corona, CA 92881-7293 | 2015-09-01 |
| 1508263740 | F.a.c.e. Surgical Center of The Desert | Oral & Maxillofacial Surgery | 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 | 2014-12-03 |
| 1407114499 | Niloofar Deyhim | Oral & Maxillofacial Surgery | 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 | 2012-04-26 |
| 1437479144 | Brian Robert Carr | Oral & Maxillofacial Surgery | 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 | 2010-06-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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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.