Individual provider Active NPI

Li Si Zeng, PA-C

  • Medical Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1083020606
Registry record updated Nov 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51748 Issued in CA
Practice address
520 Superior Ave
Suite 270
Newport Beach, CA 92663-3637
Phone
(949) 574-9300
Fax
(949) 548-4544
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 51748 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 270
Newport Beach, CA 92663-3637

Mailing address

1501 Superior Ave
Suite 310
Newport Beach, CA 92663-3600
Phone (949) 574-9300

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
I20250819003892 CA Practitioner - Physician Assistant 5496254005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tien T Nguyen M.D. Inc.Group PAC ID 0042318131, 6 clinicians

Practice addresses (Care Compare)

18035 Brookhurst St
Suite 1700
Fountain Valley, CA 92708-6738
Phone (714) 433-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tien T Nguyen M.D. Inc. CurrentSince Jan 10, 2026 Accepting new patients
Scott E. Jenkins M.D., Inc. PastSince Jan 1, 2007 Accepting new patients

Locations

18035 Brookhurst St
Ste 1700
Fountain Vly, CA 92708
Phone (714) 433-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416700800000",
    "number": "1083020606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE",
            "address_2": "SUITE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633600",
            "telephone_number": "949-574-9300",
            "fax_number": "949-548-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-574-9300",
            "fax_number": "949-548-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENG",
        "first_name": "LI",
        "middle_name": "SI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.