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

Jason Lee

Individual provider Physician Assistant · NPI 1477266476

Jason Lee is a Physician Assistant in Vallejo, California. Qualified in 2025, 1 year ago. Registered with an NPI since 2023.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477266476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing address1310 Club Dr, Vallejo, CA 94592-1187

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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