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NPI Code Detail

MEDICARE: LEE THOMAS CATES

MEDICARE: LEE THOMAS CATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorC5160802CA
2172V00000XCommunity Health Worker
3373H00000XDay Training/Habilitation Specialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1174400000OTHERCA174400000X
2ZZZ-80499ZOTHERCA174400000X

General Provider Information

NPI Number : 1659545077
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE THOMAS CATES
Provider Business Mailing Address
First Line : 1692 EL CAMINO REAL
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070-5208
Country : US
Telephone Number : 650-817-9070
Fax Number : 650-817-9074
Provider Business Practice Location Address
First Line : 505 CYPRESS AVE
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-2922
Country : US
Telephone Number : 650-380-6149
Fax Number : 650-952-5846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 07/28/2025

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Directions to “ LEE THOMAS CATES ” Practice Location

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