Evelyn Evens Li, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G48660 Issued in CA

Practice address

46356 Warm Springs Blvd
872
Fremont, CA 94539-7021

Phone

(510) 770-1300

Fax

(510) 573-4811

NPI assigned

Aug 14, 2006

Last updated

Dec 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Family Practice, Gastroenterology, Internal Medicine

Education

University of California, Davis School of Medicine, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Asian Medical Clinic Fremont IncGroup PAC ID 0547156861, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Asian Medical Clinic Fremont Inc

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1821137274
  Medicare reassignment Care Compare group NPD Authorized official
• Evelyn E. Li, M.D., a Professional Corporation

  • Cardiovascular Disease Physician
  • Hayward, CA
  • NPI 1598898330
  Medicare reassignment NPD Authorized official
• Starry Night Inc

  • Clinical Medical Laboratory
  • Fremont, CA
  • NPI 1811226079
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Asian American Home Care, Inc

  dba Asian American Home Health

  • Home Health Agency
  • Alameda, CA
  • NPI 1336144484
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1235142761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14858",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94539",
            "telephone_number": "510-770-1300",
            "fax_number": "510-573-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46356 WARM SPRINGS BLVD",
            "address_2": "872",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397021",
            "telephone_number": "510-770-1300",
            "fax_number": "510-573-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "EVELYN",
        "middle_name": "EVENS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G48660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dong Li Hou, LCSW
• Ai Xia Joyce Li, MD
• Corwin W Li, O.D.
• Cuiping Li, MD
• Dingding Li
• Heumin Li, R.PH.
• Irene Ie-Ling Li, RPH
• Ka Li
• Kai Li, M.D.
• Pingping Li, L.AC.

• Specialist in Fremont, CA
• Providers in Fremont, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.