JENNIFER LEE M.D.
NPI 1770937641
Surgery in Oakland, CA

Q: What is Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1770937641. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Q: What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment

365 HAWTHORNE AVE STE 101, OAKLAND, CA 94609(510) 465-5523(510) 832-6061 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2022, Aug 4, 2021 (2 updates tracked since 2021).

On this page

About Jennifer Lee M.d. NPPES

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

JENNIFER LEE M.D. (NPI 1770937641) is an individual surgery provider in Oakland, California, licensed in California (A153111) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2016).

NPPES Registry Identity

NPI1770937641

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJENNIFER LEECredential: M.D.

Location Address365 HAWTHORNE AVE STE 101Oakland, CA 94609-3115

Mailing Address365 Hawthorne Ave Ste 101Oakland, CA 94609-3115 · (510) 465-5523 · Fax (510) 832-6061

Phone(510) 465-5523

Fax(510) 832-6061

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2016

Enumeration DateApril 18, 2016

Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1770937641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A153111

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

365 HAWTHORNE AVE STE 101, Oakland, CA 94609

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Secondary Practice Locations 2

Location 13010 Colby St Ste 118Berkeley, CA 94705-2059 · Phone (510) 486-0818 · Fax (510) 486-0819

Location 227206 Calaroga Ave Ste 206Hayward, CA 94545-4300 · Phone (510) 732-5731 · Fax (510) 732-5739

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lee M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901132109

PECOS Enrollment IDI20210707002250

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

303 mi

Health Maintenance Organization

2103 E GONZALES RD
Oxnard, CA 93036

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1275756652 (805) 650-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

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 6

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

HNOUKAJ AURORE LYFOUNG MD

Surgery