Active NPI
Yan Li
- Audiologist
- San Gabriel, CA
National Provider Identifier
1164696753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2611
- Practice address
- 416 W Las Tunas Dr
Suite 101
San Gabriel, CA 91776-1236 - Phone
- (626) 281-9889
- Fax
- (626) 281-0399
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA 7283 | CA | |
| Audiologist | 231H00000X | AU2611 | CA | Primary |
Addresses
Primary practice location
416 W Las Tunas Dr
Suite 101
San Gabriel, CA 91776-1236
Mailing address
5000 Cheshire LN N
Plymouth, MN 55446-3706
Phone (888) 333-9152
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2611 | CA | MD | Audiologist |
| HA 7283 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1164696753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHESHIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463706",
"telephone_number": "888-333-9152",
"fax_number": "763-268-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W LAS TUNAS DR",
"address_2": "SUITE 101",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761236",
"telephone_number": "626-281-9889",
"fax_number": "626-281-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-15",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA 7283",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.