Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASSIDY TED LEE DO, MPP
NPI 1487358784
Family Medicine in San Luis Obispo, CA

Q: What is Cassidy Lee's NPI number?

The NPI number for Cassidy Lee is 1487358784. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Cassidy Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Lee was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since March 29, 2023PECOS Enrolled

862 AEROVISTA PL STE 100, SAN LUIS OBISPO, CA 93401(805) 549-8023(805) 549-8252 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Aug 6, 2026, Mar 29, 2023 (3 updates tracked since 2023).

On this page

About Cassidy Ted Lee Do, Mpp NPPES

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

CASSIDY TED LEE DO, MPP (NPI 1487358784) is an individual family medicine provider in San Luis Obispo, California, licensed in California (20A23969) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1487358784

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCASSIDY TED LEECredential: DO, MPP

Location Address862 AEROVISTA PL STE 100San Luis Obispo, CA 93401-8758

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5200

Phone(805) 549-8023

Fax(805) 549-8252

Sole ProprietorYes

Enumeration DateMarch 29, 2023

Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1487358784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A23969

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

862 AEROVISTA PL STE 100, San Luis Obispo, CA 93401

Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 E Church StSanta Maria, CA 93454-5906 · Phone (805) 739-3374

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassidy Ted Lee Do, Mpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. SHIRLEY LYNNE VAN MD

Dermatology