Individual provider Active NPI

Karin C Li, MD

  • Internal Medicine Physician
  • Chino, CA
National Provider Identifier
1124205059
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96828 Issued in CA
Practice address
13768 Roswell Ave Ste 215
Chino, CA 91710-1407
Phone
(909) 325-2215
Fax
(888) 491-0615
NPI assigned
Jan 22, 2008
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96828 CA Primary

Addresses

Primary practice location

13768 Roswell Ave Ste 215
Chino, CA 91710-1407

Mailing address

PO Box 2240
Walnut, CA 91788-2240
Phone (951) 220-9796

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081031000142 CA Practitioner - Internal Medicine 5496814790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13768 Roswell Ave
Suite 215
Chino, CA 91710-1407
Phone (909) 325-2215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96828CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karin C Li MD a Prof Med Corp Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

13768 Roswell Ave
Ste 215
Chino, CA 91710
Phone (909) 325-2215

12442 Limonite Ave
Unit 211
Eastvale, CA 91752
Phone (909) 593-1002

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 3

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1124205059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882240",
            "telephone_number": "951-220-9796",
            "fax_number": "888-491-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 215",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101407",
            "telephone_number": "909-325-2215",
            "fax_number": "888-491-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "KARIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.