Tit S Li, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A25684 Issued in CA

Practice address

819 W Cesar E Chavez Ave
Los Angeles, CA 90012-2130

Phone

(213) 613-1255

Fax

(213) 613-1256

NPI assigned

Jun 28, 2006

Last updated

Jan 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coordinated Care Medical Group

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1285173336

  General Practice

  NPD (past) Authorized official
• Chinatown Service Center

  • Case Manager/Care Coordinator
  • Alhambra, CA
  • NPI 1134482326
  NPD (past)
• Pacific Alliance Medical Center, Inc

  dba Pacific Alliance Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1972551174
  NPD (past)
• Tit Sang Li MD & Nga Wan Wong MD Inc

  • Ambulatory Family Planning Facility
  • Huntington Beach, CA
  • NPI 1124119979

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1003844432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 GLENEAGLES CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-960-8245",
            "fax_number": "714-960-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122130",
            "telephone_number": "213-613-1255",
            "fax_number": "213-613-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TIT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A25684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0002450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Siyue Li
• Shundao Li
• Suk Y Li, DDS
• Tian Chin Li, MSOM; L.AC.
• Tian R Li
• Wei Li
• Whitty Li
• William Li, MD
• William Ang Li, MD
• Xia Li

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.