Active NPI
Linxi Xiong, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95004409
- Practice address
- 651 I St
Sacramento, CA 95814-2400 - Phone
- (168) 746-1729
- NPI assigned
- Oct 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004409 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95004409 | CA | Primary |
Addresses
Primary practice location
651 I St
Sacramento, CA 95814-2400
Mailing address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Other practice location 1
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95004409 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
651 I St
Sacramento, CA 95814
Phone (916) 874-5222
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1164973392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 I ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142400",
"telephone_number": "168-746-1729"
}
],
"practiceLocations": [
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "916-734-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "XIONG",
"first_name": "LINXI",
"name_prefix": "Mr.",
"credential": "FNP-BC, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004409",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95004409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.