Active NPI
Yan Li M D Inc
- Anesthesiology Physician
- Pomona, CA
National Provider Identifier
1275775603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A79997
- Legal business name
- YAN LI M D INC
- Practice address
- 255 E Bonita Ave BLDG 3B
Pomona, CA 91767-1923 - Phone
- (909) 593-3550
- NPI assigned
- Mar 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Li, M.D.
- Title
- President
- Phone
- (909) 985-2112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A79997 | CA | Primary |
Addresses
Primary practice location
255 E Bonita Ave BLDG 3B
Pomona, CA 91767-1923
Mailing address
PO Box 148
Claremont, CA 91711-0148
Phone (909) 985-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2720 N Garey Ave
Pomona, CA 91767
Phone (909) 593-6222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Escondido, CA
- NPI 1184650863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1275775603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917110148",
"telephone_number": "909-985-2112",
"fax_number": "909-985-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E BONITA AVE BLDG 3B",
"city": "POMONA",
"state": "CA",
"postal_code": "917671923",
"telephone_number": "909-593-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAN LI M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-31",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-985-2112",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A79997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.