Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diana Katherine Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568993004

Diana Katherine Lee is an Orthopedic Surgery in Petaluma, California. Graduated from Columbia University College of Physicians and Surgeons in 2017, 9 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1496 Professional Dr Ste 601
Petaluma, CA 94954-6698
Phone: (707) 778-1131
Fax: (707) 778-3818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 270 International Circle, San Jose, CA 95119 — (408) 972-3303
  • 525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405-4562 — (707) 525-6620

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence A176570 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A176570 (CA)

Record details

NPI number1568993004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2017 (9 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Petaluma