Xin-Nong Li M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A67508 Issued in CA

Legal business name

XIN-NONG LI M.D., INC.

Practice address

6600 Mercy CT
Ste# 130
Fair Oaks, CA 95628-3158

Phone

(916) 961-3084

Fax

(916) 961-3018

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Xin-Nong Li, M.D.NPI 1205804036

Title

Owner

Phone

(916) 961-3084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xin-Nong Li, MD

  • Internal Medicine Physician
  • Fair Oaks, CA
  • NPI 1205804036
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1184857658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT",
            "address_2": "STE# 130",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283158",
            "telephone_number": "916-961-3084",
            "fax_number": "916-961-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT",
            "address_2": "STE# 130",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283158",
            "telephone_number": "916-961-3084",
            "fax_number": "916-961-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIN-NONG LI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIN-NONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-961-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lisa Witte, MFT
• Robert Herman Wold Jr., D.D.S.
• Marilea A Wolf, LCSW
• Melanie Womble, D.PSYCH (PROF)
• Rose B Woodward
• Robert John Xiong, DOCTOR OF PHARMACY
• Yue Han Yang, OD
• Jenna Leigh Yanowsky
• Michelle Yonkus, APN
• Tredena Nicole Young, N.M.D.

• Internal Medicine Physician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.