Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093133035 Individual Practitioner Female Practitioner

Dr. Heather Lee , MD

Pediatrics • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Heather Lee, MD is a registered healthcare professional specializing in Pediatrics in Modesto, CA. Practice services are available at 1510 FLORIDA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1510 Florida Ave

Modesto, CA 953504437

Telephone 2094927150
Fax 5594927119
Associated Practice Facility / Clinic
🏢 Golden Valley Health Center Facility NPI 1033193610

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
77 Specialists

Practicing in Modesto, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-16
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A149886

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2301 Erwin Rd

Durham, NC 277054699

Phone: 9196848111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Charina Quiambao , FNP

Nurse Practitioner - Family

NPI 1174021521

Family Nurse Practitioner

Loretta Myers-Weber , NP-C

Nurse Practitioner - Family

NPI 1831694769

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2022

Student in an Organized Health Care Education/Training Program

👤
Provider Name / Credentials Updated January 29, 2019

Recorded as HEATHER LEE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2019

Pediatrics (License #A149886 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2017

Registered at 1510 FLORIDA AVE, MODESTO, CA 953504437 (Tel: 2094927150)

📍
Updated Business Mailing Address August 04, 2017

Registered at 1910 CUSTOMER CARE WAY, ATWATER, CA 953015167 (Tel: (209) 384-6493)

👤
Provider Name / Credentials Updated August 04, 2017

Recorded as HEATHER LUTTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2017

Pediatrics (License #A149886 in CA)

📍
Updated Business Mailing Address June 29, 2017

Registered at 1910 CUSTOMER CARE WAY, ATWATER, CA 953015167 (Tel: (209) 384-6493)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Pediatrics (License #A149886 in CA)

NPI Profile Active April 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2014

Registered at 2301 ERWIN RD, DURHAM, NC 277054699 (Tel: 9196848111)

📍
Updated Business Mailing Address April 05, 2014

Registered at 2301 ERWIN RD, DURHAM, NC 277054699 (Tel: 9196848111)

👤
Provider Name / Credentials Updated April 05, 2014

Recorded as HEATHER LUTTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093133035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2014
Last Update: June 16, 2022
Sole Proprietor: No

Mailing Address

1910 Customer Care Way

Atwater, CA 953015167

Phone: 2093846493

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.