Active NPI
Johnny T Li, M.D.
- Orthopaedic Surgery Physician
- West Hills, CA
National Provider Identifier
1124004965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A025311
- Practice address
- 7345 Medical Center Dr
Suite #280
West Hills, CA 91307-1937 - Phone
- (818) 888-2855
- Fax
- (818) 888-0702
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A025311 | CA | Primary |
Addresses
Primary practice location
7345 Medical Center Dr
Suite #280
West Hills, CA 91307-1937
Mailing address
7345 Medical Center Dr
Suite #280
West Hills, CA 91307-1937
Phone (818) 888-2855
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A253110 | Medicaid | CA | |
| Y5394 | Other | CA | MEDICARE SUPPLIER # |
| A025311 | Other | CA | CA MEDICAL LICENSE |
| 953718732 | Other | CA | CORPORATE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1124004965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 MEDICAL CENTER DR",
"address_2": "SUITE #280",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071937",
"telephone_number": "818-888-2855",
"fax_number": "818-888-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 MEDICAL CENTER DR",
"address_2": "SUITE #280",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071937",
"telephone_number": "818-888-2855",
"fax_number": "818-888-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JOHNNY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A025311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A253110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SUPPLIER #",
"identifier": "Y5394",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "A025311",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE TAX ID",
"identifier": "953718732",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.