MR. JIN Y LEE (NPI# 1891890570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891890570 |
| Entity Type | Individual |
| Full Name | MR. JIN Y LEE |
| Credential | MD |
| Practice Address |
100 Oconnor Dr #12 San Jose CA 95128 |
| Practice Telephone | 4082805655 |
| Practice Fax Number | 4082805631 |
| Mailing Telephone | 4082805655 |
| Mailing Fax Number | 4082805631 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A42438 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A424380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210019 | Jin S Lee | Acupuncturist | 427 Hazlitt Ave, Leonia, NJ 07605-1209 | 2019-05-20 |
| 1932672862 | Jin Lee | Dentist | 9 Bayberry Cir, Shrewsbury, MA 01545-6101 | 2019-01-03 |
| 1174908875 | Jin Lee | Nurse Practitioner | 10113 Groveland Ave, Whittier, CA 90603-1548 | 2015-07-23 |
| 1447504238 | Jin Ah Lee | Technician | 34 Blackpine Dr, Medford, NY 11763-4103 | 2012-11-01 |
| 1538450234 | Jin Lee | Pharmacist | 4222 Nw Cary Pkwy # A, Cary, NC 27513-8411 | 2011-04-28 |
| 1922293471 | Jin U Lee | Denturist | 18009 Hwy 99 Ste C, Lynnwood, WA 98037-4499 | 2007-09-07 |
| 1538281027 | Jin S Lee | Pharmacist | 4041 Nw Logan Rd, Lincoln City, OR 97367-5054 | 2007-04-04 |
| 1063554061 | Jin Boone Lee | Dentist | 4959 Arlington Ave Ste F, Riverside, CA 92504-2756 | 2007-02-13 |
| 1538274030 | Jin Woo Lee | Chiropractor | 9851 Gross Point Rd, Skokie, IL 60076-1145 | 2006-08-21 |
| 1285616409 | Jin Ok Lee | Family Medicine | 4845 S Rainbow Blvd, Las Vegas, NV 89103-4916 | 2005-11-15 |
| Street Address |
100 OCONNOR DR #12 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023007903 | Gregory Kirk Rabitz | Dentist | 100 Oconnor Dr, Suite 11, San Jose, CA 95128-1647 | 2005-10-13 |
| 1972121077 | Anna Codara | Behavior Technician | 100 Oconnor Dr, San Jose, CA 95128-1647 | 2020-07-06 |
| 1447876875 | Benjamin Duncan Kennedy | Behavior Technician | 100 Oconnor Dr, San Jose, CA 95128-1647 | 2020-06-22 |
| 1760018980 | Devanae Harris | Behavior Technician | 100 Oconnor Dr, San Jose, CA 95128-1647 | 2020-03-19 |
| 1912441270 | Kayla Marie Bravo | Chiropractor | 100 Oconnor Dr, Ste 25, San Jose, CA 95128-1638 | 2016-12-06 |
| 1356715700 | Jennifer Murphy Dc Chiropractic Inc | Chiropractor | 100 Oconnor Dr, #25, San Jose, CA 95128-1647 | 2015-11-23 |
| 1912257908 | Rabeah Shakhs Emampour | Chiropractor | 100 Oconnor Dr, Ste 25, San Jose, CA 95128-1647 | 2012-09-17 |
| 1568717429 | Mehdi Panahi | Chiropractor | 100 Oconnor Dr, Ste 30, San Jose, CA 95128-1655 | 2012-07-17 |
| 1114219631 | Clinton Uyehara | Dentist | 100 Oconnor Dr, Suite 5, San Jose, CA 95128-1647 | 2011-05-03 |
| 1699080671 | Jennifer Anne Murphy | Chiropractor | 100 Oconnor Dr, Suite 25, San Jose, CA 95128-1647 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407218 | Vascular and Endovascular Surgery, PC | Surgery | 2505 Samaritan Dr Ste 503, San Jose, CA 95124-4015 | 2018-12-03 |
| 1689095077 | Magnus Eric Kolbeinsson | Surgery | 4857 Rahway Dr, San Jose, CA 95111-3843 | 2014-01-02 |
| 1427493691 | Nhan Huynh | Surgery | 4757 Poston Dr, San Jose, CA 95136-3312 | 2013-05-01 |
| 1982953766 | Jin Y. Lee. Md. Inc. | Surgery | 100 O'connor Dr. #12, San Jose, CA 95128 | 2012-09-07 |
| 1659672160 | Amy Gonsier, M.d., Inc. | Surgery | 2025 Forest Ave Ste 8, San Jose, CA 95128-4806 | 2010-11-15 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1871701292 | Rodrigo Rivera Leon | Surgery | 810 Saratoga Ave, N-104, San Jose, CA 95129-2572 | 2007-05-18 |
| 1881749661 | Samaritan Surgical Clinic Inc | Surgery | 2505 Samaritan Dr #301, San Jose, CA 95124 | 2007-01-24 |
| 1043370505 | Victor Wh Tsang | Surgery | 2395 Montpelier Drive, Suite 5, San Jose, CA 95116 | 2006-12-12 |
| 1902979370 | Richard Schnabel | Surgery | 2505 Samaritan Dr Ste 504, San Jose, CA 95124-4014 | 2006-11-15 |
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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.