Active NPI
Li Liang, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1053468546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A96420
- Practice address
- 9750 Miramar Rd
Suite 315
San Diego, CA 92126-4560 - Phone
- (858) 354-1304
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A96420 | CA | Primary |
Addresses
Primary practice location
9750 Miramar Rd
Suite 315
San Diego, CA 92126-4560
Mailing address
9888 Carroll Centre Rd
San Diego, CA 92126-4579
Phone (858) 354-1304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A96420 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 1, 2022 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96420 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1053468546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9888 CARROLL CENTRE RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264579",
"telephone_number": "858-354-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 MIRAMAR RD",
"address_2": "SUITE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264560",
"telephone_number": "858-354-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "LI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A96420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A96420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.