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

Jennifer Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770937641

Jennifer Lee, MD is a General Surgery in Oakland, California. Graduated from Creighton University School of Medicine in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

365 Hawthorne Ave Ste 101
Oakland, CA 94609-3115
Phone: (510) 465-5523
Fax: (510) 832-6061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3010 Colby St Ste 118, Berkeley, CA 94705-2059 — (510) 486-0818
  • 27206 Calaroga Ave Ste 206, Hayward, CA 94545-4300 — (510) 732-5731

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A153111 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770937641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2016
Last updated in NPPESSeptember 23, 2022
Certification dateSeptember 23, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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