Individual provider Active NPI

Jane Yan Li, OPTOMETRIST

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1174742001
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11692 Issued in CA
Practice address
7740 Garvey Ave # B100B102
Rosemead, CA 91770-3077
Phone
(626) 927-0838
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11692 CA Primary

Addresses

Primary practice location

7740 Garvey Ave # B100B102
Rosemead, CA 91770-3077

Mailing address

7740 Garvey Ave # B100B102
Rosemead, CA 91770-3077
Phone (626) 927-0838

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000220 CA Practitioner - Optometry 6002999000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11692CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles D. Fritch, M.D., Inc CurrentSince Nov 1, 2002 Accepting new patients
Cha Medical and Surgical Group, PC PastSince Nov 18, 2018 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist Past Accepting new patients

Locations

9000 Ming Ave
Ste L2
Bakersfield, CA 93311
Phone (661) 665-2020

8501 Brimhall Rd
Ste 402
Bakersfield, CA 93312
Phone (661) 665-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1174742001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 GARVEY AVE # B100B102",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703077",
            "telephone_number": "626-927-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 GARVEY AVE # B100B102",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703077",
            "telephone_number": "626-927-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JANE",
        "middle_name": "YAN",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.