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

Mr. Samuel Joonsang Lee, FNP-C

Individual provider Registered Nurse · NPI 1346790706

Mr. Samuel Joonsang Lee, FNP-C is a Nurse Practitioner in Berkeley, California. Qualified in 2016, 10 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
10
Licensed in
CA, WA
In the registry since
2016
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2500 Milvia St
Berkeley, CA 94704-2636
Phone: (510) 204-5600
Fax: (510) 506-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 721 Lakeview Ave, San Francisco, CA 94112-2203 — (818) 640-8098
  • 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 — (360) 882-2778

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95004858 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95040295 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95004858 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60798120 (WA)

Record details

NPI number1346790706
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 10, 2016
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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