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LEE MARSHALL FAGEN NP
NPI 1275639098
Nurse Practitioner - Adult Health in Berkeley, CA

Active since September 16, 2006
2222 BANCROFT EXT, BERKELEY, CA 94720(510) 643-9135 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lee Marshall Fagen Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE MARSHALL FAGEN NP (NPI 1275639098) is an individual adult health provider in Berkeley, California, licensed in California (RN373234, NP7501) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1275639098
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameLEE MARSHALL FAGENCredential: NP
Location Address2222 BANCROFT EXTBerkeley, CA 94720-4303
Mailing Address2727 Hillegass AveBerkeley, CA 94705-1206 · (510) 843-5326
Phone(510) 643-9135
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275639098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · RN373234, NP7501
2222 BANCROFT EXT, Berkeley, CA 94720
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINA SUSANNE WILMER O.D.
Optometrist
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 643-2020
DR. CINDY JEE-SING CHANG MD
Family Medicine (Sports Medicine)
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 643-3627
DR. SCOTT PATRICK SWANSON M.D.
Internal Medicine
2222 BANCROFT EXT, UNIVERSITY HEALTH SERVICES, UC BERKELEY
BERKELEY, CA 94720
Alameda County (510) 642-9139
DR. ANNE D.M.U. MOY O.D.
Optometrist
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 643-2020
MS. JOSEPHINE GUERRERO BILLINGTON RN, NP
Nurse Practitioner (Primary Care)
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 643-5400
MARY K POPYLISEN PT, ATC
Specialist/Technologist (Athletic Trainer)
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 642-5651
DR. JEFFREY DONALD NELSON M.D.
Family Medicine (Sports Medicine)
2222 BANCROFT EXT, UNIVERSITY HEALTH SERVICE- CLINICAL SERVICES
BERKELEY, CA 94720
Alameda County (510) 643-7110
VALERIE STOLLER RN, FNP
Nurse Practitioner (Family)
2222 BANCROFT EXT
BERKELEY, CA 94720
Alameda County (510) 642-7536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Fagen's NPI number?

The NPI number for Lee Fagen is 1275639098. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Lee Fagen located?

Lee Fagen practices at 2222 Bancroft Ext, Berkeley, CA 94720. The listed phone number is (510) 643-9135.

What is Lee Fagen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Lee Fagen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.