NPIMap

Individual provider Active NPI

Sareen Janna Leong Li, RN, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1174894067
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009682 Issued in CA
Practice address
729 Filbert St
San Francisco, CA 94133-2760
Phone
(415) 352-2000
Fax
(415) 352-2050
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009682 CA Primary
Registered Nurse 163W00000X 805272 CA

Addresses

Primary practice location

729 Filbert St
San Francisco, CA 94133-2760

Mailing address

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-2000

Other practice location 1

1421 Broderick St
San Francisco, CA 94115-3304
Phone (415) 292-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000863 CA Practitioner - Nurse Practitioner 2860729746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-3000

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
805272CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Mar 7, 2022 Accepting new patients
City & County of San Francisco - Department of Public Health CurrentSince Mar 7, 2022 Accepting new patients

Locations

729 Filbert St
San Francisco, CA 94133
Phone (415) 255-3602

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1174894067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-352-2000",
            "fax_number": "415-352-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Broderick St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153304",
            "country_code": "US",
            "telephone_number": "415-292-1760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "SAREEN",
        "middle_name": "JANNA LEONG",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009682",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "805272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.