Organization Active NPI

Jingli Associates

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1295975357
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56284 Issued in CA
Legal business name
JINGLI ASSOCIATES
Practice address
9940 Research Drive
Suite 100
Irvine, CA 92618-4332
Phone
(949) 552-8133
Fax
(949) 522-1882
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Jing Fang Li, M.D
Title
Owner/Officer
Phone
(949) 552-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A56284 CA Primary

Addresses

Primary practice location

9940 Research Drive
Suite 100
Irvine, CA 92618-4332

Mailing address

9940 Research Drive
Suite 100
Irvine, CA 92618-4332
Phone (949) 552-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140310001087 CA Part B Supplier - Clinic/Group Practice 5698905891 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

9940 Research Dr
Ste 100
Irvine, CA 92618
Phone (949) 552-8133

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1295975357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 RESEARCH DRIVE",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184332",
            "telephone_number": "949-552-8133",
            "fax_number": "949-522-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 RESEARCH DRIVE",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184332",
            "telephone_number": "949-552-8133",
            "fax_number": "949-522-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JINGLI ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JING",
        "authorized_official_middle_name": "FANG",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "949-552-8133",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.

Verify at the official NPI Registry.