Xiaodong Li, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A78734 Issued in CA

Practice address

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Phone

(714) 378-7000

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Anesthesiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Specialists of Orange County IncGroup PAC ID 9830289388, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
• College Medical Center Hospital, Long Beach, CA, CCN 050776

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Anesthesia Specialists of Orange County, Inc.

  • Anesthesiology Physician
  • Anaheim, CA
  • NPI 1134311319
  Medicare reassignment Care Compare group NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• Talbert Anesthesia Group Incorporated

  • Anesthesiology Physician
  • Los Alamitos, CA
  • NPI 1144626714
  Medicare reassignment NPD
• Gary Chinghuei Kao MD Inc

  • Anesthesiology Physician
  • Garden Grove, CA
  • NPI 1063647774
  NPD (past)

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

• Ahmc Anaheim Regional Medical

  dba AHMC Anaheim Regional Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation
• CHLB, LLC

  dba College Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  Care Compare affiliation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1285605923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAODONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A78734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "P01657129",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A787342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Levi, M.D.
• David Reece Levin, DPM
• Misti Renee Lewis, B.S., OTR
• Li Q. Nguyen, MD
• Jasmine Iris Li, PA-C
• Yukyin Li, ACUPUNCTRIST
• Christopher David Liao, MD
• Shannon Roxanne Libbrecht, R.D.
• Liberty 2000 LLC (Liberty Labs)
• Liberty Laboratory LLC

• Anesthesiology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.