Individual provider Active NPI

Li Poa, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Torrance, CA
National Provider Identifier
1346277605
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G76922 Issued in CA
Practice address
20911 Earl St Ste 245
Torrance, CA 90503
Phone
(310) 303-5063
Fax
(310) 371-5351
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G76922 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 245
Torrance, CA 90503

Mailing address

8635 W 3Rd St Ste 865W
Los Angeles, CA 90048-6140
Phone (310) 854-3566

Other practice location 1

32 Strawberry Hill Ct
2nd Floor
Stamford, CT 06902-2594
Phone (203) 276-4400

Other practice location 2

32 Strawberry Hill Ct
2nd Floor
Stamford, CT 06902-2594
Phone (203) 276-4400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091121000091 CA Practitioner - Cardiac SurgeryPractitioner - Vascular Surgery 4981777109 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Vascular Surgery
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Heart Centers a Medical CorporationGroup PAC ID 7012944473, 16 clinicians

Practice addresses (Care Compare)

506 W Valley Blvd
San Gabriel, CA 91776-5716
Phone (626) 308-3800

8635 W 3Rd St
Suite 865W
Los Angeles, CA 90048-6140
Phone (310) 854-3566

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76922CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles (18 of 19)

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Feb 4, 2019 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 18, 2026 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 18, 2026 Accepting new patients
Southern California Heart Centers a Medical Corporation CurrentSince Mar 1, 2021 Accepting new patients
Enloe Medical Center CurrentSince Mar 12, 2021 Accepting new patients
Enloe Medical Center CurrentSince Mar 12, 2021 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 18, 2026 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
Trustees of Columbia University in the City of New York Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Stamford Health Medical Group Inc PastSince Apr 1, 2015 Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
North Valley Cardiothoracic Surgeons Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jun 7, 2006 Accepting new patients
Stamford Hospital Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Miguel Puig MD a Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince May 1, 2019 Accepting new patients

Locations

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

18035 Brookhurst St
Ste 2100
Fountain Valley, CA 92708
Phone (657) 241-9090

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

24411 Health Center Dr
Ste 680
Laguna Hills, CA 92653
Phone (949) 268-4568

506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 308-3800

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lpoa48321@enloedirect.org
  • Direct secure messaging: li.poa@697388111167492.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1346277605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 865W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486140",
            "telephone_number": "310-854-3566",
            "fax_number": "310-427-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 245",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-303-5063",
            "fax_number": "310-371-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Strawberry Hill Ct",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022594",
            "country_code": "US",
            "telephone_number": "203-276-4400",
            "fax_number": "203-276-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Strawberry Hill Ct",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022594",
            "country_code": "US",
            "telephone_number": "203-276-4400",
            "fax_number": "203-276-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POA",
        "first_name": "LI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G76922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.