Individual provider Active NPI

Miaozhen Li, RN, MSN, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1336423938
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 19276 Issued in CA
Practice address
2690 Pacific Ave Ste 290
Long Beach, CA 90806-2631
Phone
(562) 595-9799
Fax
(562) 595-8884
NPI assigned
Oct 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 19276 CA Primary

Addresses

Primary practice location

2690 Pacific Ave Ste 290
Long Beach, CA 90806-2631

Mailing address

2690 Pacific Ave Ste 290
Long Beach, CA 90806-2631
Phone (562) 595-9799

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327002959 CA Practitioner - Nurse Practitioner 7911247085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Physicians Medical Group IncGroup PAC ID 8527963487, 7 clinicians

Practice addresses (Care Compare)

1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone (562) 595-9799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP 19276CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physicians Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients

Locations

2690 Pacific Ave
Ste 290
Long Beach, CA 90806
Phone (562) 426-8185

1974 Santa Fe Ave
Long Beach, CA 90810
Phone (310) 435-2003

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317427200000",
    "number": "1336423938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE STE 290",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062631",
            "telephone_number": "562-595-9799",
            "fax_number": "562-595-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE STE 290",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062631",
            "telephone_number": "562-595-9799",
            "fax_number": "562-595-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "MIAOZHEN",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-01",
        "last_updated": "2011-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 19276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.