Active NPI
Li Q Qiao, PA
- Medical Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA16087
- Practice address
- 2825 W 8TH St
102
Los Angeles, CA 90005-1291 - Phone
- (213) 380-8998
- Fax
- (213) 380-8998
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16087 | CA | Primary |
Addresses
Primary practice location
2825 W 8TH St
102
Los Angeles, CA 90005-1291
Mailing address
12840 Riverside Dr
#300
North Hollywood, CA 91607-3327
Phone (818) 655-9900
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15251 Roscoe Blvd
Panorama City, CA 91402-4401
Phone (818) 602-4477
4418 Vineland Ave
Suite 218
North Hollywood, CA 91602-2159
Phone (747) 724-1825
519 S Victory Blvd
Burbank, CA 91502-2355
Phone (818) 861-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vineland Family Medical Center Inc | Current | Accepting new patients | |
| Van Nuys Family Medical Clinic Inc | Current | Accepting new patients | |
| Sepulveda Family Medical Clinic Inc | Current | Accepting new patients | |
| Family Quality Medical Center Inc | Current | Accepting new patients | |
| Aldad Chiropractic, Inc. | Past | Accepting new patients |
Locations
519 S Victory Blvd
Burbank, CA 91502
Phone (818) 861-7333
15251 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 602-4477
4418 Vineland Ave
Ste 218
Toluca Lake, CA 91602
Phone (818) 275-2243
15243 Vanowen St
Ste 403
Van Nuys, CA 91405
Phone (818) 809-2036
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Burbank, CA
- NPI 1982573838
-
- Geriatric Medicine (Family Medicine) Physician
- Panorama City, CA
- NPI 1578430278
-
- Geriatric Medicine (Family Medicine) Physician
- North Hollywood, CA
- NPI 1386513232
-
- Geriatric Medicine (Family Medicine) Physician
- Panorama City, CA
- NPI 1841167541
-
- Chiropractor
- Encino, CA
- NPI 1225075666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306959168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12840 RIVERSIDE DR",
"address_2": "#300",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916073327",
"telephone_number": "818-655-9900",
"fax_number": "818-655-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 W 8TH ST",
"address_2": "102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051291",
"telephone_number": "213-380-8998",
"fax_number": "213-380-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QIAO",
"first_name": "LI",
"middle_name": "Q",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA16087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.