Individual provider Active NPI

Ran Li

  • School Registered Nurse
  • Fremont, CA
National Provider Identifier
1225219041
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
210143697 Issued in CA
Practice address
39207 Sundale Dr
Fremont, CA 94538-1916
Phone
(510) 386-7052
Fax
(510) 651-4201
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 210143697 CA Primary
Case Management Registered Nurse 163WC0400X 522612 CA

Addresses

Primary practice location

39207 Sundale Dr
Fremont, CA 94538-1916

Mailing address

3273 Briones Ter
Fremont, CA 94538-3083
Phone (925) 699-9194

Other practice location 1

3273 Briones Ter
Fremont, CA 94538-3083
Phone (925) 699-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
522612CAMDCase Management Registered Nurse
210143697CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1225219041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 BRIONES TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383083",
            "telephone_number": "925-699-9194",
            "fax_number": "925-271-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39207 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381916",
            "telephone_number": "510-386-7052",
            "fax_number": "510-651-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3273 Briones Ter",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945383083",
            "country_code": "US",
            "telephone_number": "925-699-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "RAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "210143697",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "522612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.