Organization Active NPI

Wei Li MD a Medical Corporation

  • Anesthesiology Physician
  • Glendora, CA
National Provider Identifier
1013339860
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A105970 Issued in CA
Legal business name
WEI LI MD A MEDICAL CORPORATION
Practice address
250 S Grand Ave
Glendora, CA 91741-4218
Phone
(909) 592-0198
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Alan Ryono
Title
Office Manager
Phone
(909) 878-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A105970 CA Primary

Addresses

Primary practice location

250 S Grand Ave
Glendora, CA 91741-4218

Mailing address

1317 S Diamond Bar Blvd Unit 4007
Diamond Bar, CA 91765-5600
Phone (909) 878-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140407001438 CA Part B Supplier - Clinic/Group Practice 3274765235 Receives reassigned benefits from 1 practitioner
Practice locations: Glendora, CA; Pasadena, CA

National Provider Directory

National Provider Directory

Locations

1317 S Diamond Bar Blvd
Unit 4007
Diamond Bar, CA 91765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1013339860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 S DIAMOND BAR BLVD UNIT 4007",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917655600",
            "telephone_number": "909-878-6665",
            "fax_number": "909-595-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414218",
            "telephone_number": "909-592-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEI LI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "RYONO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-878-6665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A105970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.