Individual provider Active NPI

Shirley Li, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1184934408
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP21463 Issued in CA
Practice address
1490 Mason St
San Francisco, CA 94133-4222
Phone
(415) 364-7600
NPI assigned
Oct 20, 2010
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP21463 CA Primary

Addresses

Primary practice location

1490 Mason St
San Francisco, CA 94133-4222

Mailing address

1490 Mason St
San Francisco, CA 94133-4222
Phone (415) 364-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000526 CA Practitioner - Nurse Practitioner 8325204068 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP21463CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Jun 17, 2012 Accepting new patients
City & County of San Francisco CurrentSince Jun 17, 2012 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

234 Eddy St
San Francisco, CA 94102
Phone (415) 353-5095

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1184934408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 MASON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334222",
            "telephone_number": "415-364-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 MASON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334222",
            "telephone_number": "415-364-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHIRLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP21463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.