Active NPI
Ran Li
- School Registered Nurse
- Fremont, CA
National Provider Identifier
1225219041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 210143697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 522612 | CA | MD | Case Management Registered Nurse |
| 210143697 | CA | MD | School 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.