Individual provider Active NPI

Jin Li

  • Psychiatric/Mental Health Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1023990199
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95036323 Issued in CA
Practice address
1707 Eye St
Bakersfield, CA 93301-5208
Phone
(661) 310-3688
NPI assigned
Jul 21, 2025
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95036323 CA Primary

Addresses

Primary practice location

1707 Eye St
Bakersfield, CA 93301-5208

Mailing address

1707 Eye St Ste 100
Bakersfield, CA 93301-5256
Phone (818) 688-7799

Other practice location 1

1603 Avonlea St
Bakersfield, CA 93311-4929
Phone (661) 281-5957

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016004755 CA Practitioner - Nurse Practitioner 3678060126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telemedicine Urgent Care IncGroup PAC ID 6305248428, 15 clinicians

Practice addresses (Care Compare)

5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone (714) 716-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036323CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern CurrentSince Oct 2, 2025 Accepting new patients
County of Kern CurrentSince Oct 2, 2025 Accepting new patients
County of Kern Current Accepting new patients
Lotusmind Care LLC Psychiatric/Mental Health CurrentSince Nov 30, 2025 Accepting new patients
Telemedicine Urgent Care Inc Past Accepting new patients
Psychiatric Medical Practitioners, Inc. PastSince Jul 28, 2025 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

2717 Nugget Ave
Lake Isabella, CA 93240
Phone (760) 379-3412

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1023990199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 EYE ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015256",
            "telephone_number": "818-688-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 EYE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015208",
            "telephone_number": "661-310-3688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Avonlea St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933114929",
            "country_code": "US",
            "telephone_number": "661-281-5957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95036323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.