DR. CLARENCE MATTHEW LEE (NPI# 1770092223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770092223 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE MATTHEW LEE |
| Credential | PH.D. |
| Practice Address |
717 Wiget Ln Walnut Creek CA 94598-4304 |
| Practice Telephone | 9254511073 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144520032 | Clarence Marcus Lee Jr. | Preventive Medicine | 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907 | 2010-10-26 |
| Street Address |
717 WIGET LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072801 | Anthony Ricci | Clinical Exercise Physiologist | 1710 S Amphlett Blvd Ste 101, San Mateo, CA 94402-2704 | 2020-04-24 |
| 1871092080 | Charles Castillo | Clinical Exercise Physiologist | 313 Falcon Dr, Vallejo, CA 94589-3708 | 2018-02-03 |
| 1164942074 | Christopher Lang Sr. | Clinical Exercise Physiologist | 21200 Kittridge Street, Suite 3238, Woodland Hills, CA 91303 | 2017-06-21 |
| 1497014864 | Myron Lynne Cole | Clinical Exercise Physiologist | 42112 Ringstem Ave, #62c, Lancaster, CA 93536-1209 | 2012-05-04 |
| 1427324813 | Jennifer Helen Laity | Clinical Exercise Physiologist | 14830 Los Gatos Blvd., Suite 101, Los Gatos, CA 95032 | 2012-03-29 |
| 1598032336 | Julia Ellen Stedifor | Clinical Exercise Physiologist | 4429 Northampton Dr, Carmichael, CA 95608-1556 | 2011-11-22 |
| 1841577426 | Mark Wiley Baldis | Clinical Exercise Physiologist | 5275 N Campus Dr, Fresno, CA 93740-0001 | 2011-11-09 |
| 1114202751 | Regula Maria Dhedhi | Clinical Exercise Physiologist | 902 Holiday Ct, Concord, CA 94518-3423 | 2011-10-14 |
| 1033391347 | Richard Zhen Peng | Clinical Exercise Physiologist | 15060 Victory Blvd, Unit 103, Van Nuys, CA 91411-1835 | 2007-11-28 |
| 1689294688 | Keshonna Barnes | Clinical Exercise Physiologist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.