Individual provider Active NPI

Ailin Li

  • Family Nurse Practitioner
  • San Gabriel, CA
National Provider Identifier
1073327177
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95032963 Issued in CA
Practice address
207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159
Phone
(626) 652-7433
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95032963 CA Primary

Addresses

Primary practice location

207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159

Mailing address

207 S Santa Anita St Ste P05
San Gabriel, CA 91776-1159

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
I20250224000681 CA Practitioner - Nurse Practitioner 6800316746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

207 S Santa Anita St
Suite P05
San Gabriel, CA 91776-1159
Phone (626) 652-7433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95032963CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Oncology Institute Ca, a Professional Corporation CurrentSince Dec 14, 2024 Accepting new patients
Starling Oncology Ca, a Professional Corporation CurrentSince Dec 14, 2024 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

207 S Santa Anita St
Ste P05
San Gabriel, CA 91776
Phone (626) 246-2019

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ailin.li@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1073327177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE P05",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE P05",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761159",
            "telephone_number": "626-652-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "AILIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.