Active NPI
Andrew Li, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- A113865
- Practice address
- 2315 Stockton Blvd. - Department of Surgery
Naob Suite 6003
Sacramento, CA 95817-2201 - Phone
- (916) 734-7289
- Fax
- (310) 533-1841
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A113865 | CA | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A113865 | CA | Primary |
Addresses
Primary practice location
2315 Stockton Blvd. - Department of Surgery
Naob Suite 6003
Sacramento, CA 95817-2201
Mailing address
2315 Stockton Blvd. - Department of Surgery
Naob Suite 6003
Sacramento, CA 95817-2201
Phone (916) 734-7289
Other practice location 1
1000 W Carson St # 461
Torrance, CA 90502-2004
Phone (310) 222-2700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191125000713 | CA | Practitioner - Plastic and Reconstructive Surgery | 8921357591 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of California, San Diego School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faculty Physicians and Surgeons of Llusm
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808
900 E Washington St
Suite 200
Colton, CA 92324-4192
Phone (909) 558-4000
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 19 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113865 | CA | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Plastic Surgery | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Regents of the University of Ca | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Plastic Surgery | Past | Accepting new patients |
Locations
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
25455 Barton Rd
Ste 102B
Loma Linda, CA 92354
Phone (909) 558-2808
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680
1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010
3301 C St
Sacramento, CA 95816
Phone (916) 734-6111
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
2315 Stockton Blvd
Ste 6003
Sacramento, CA 95817
Phone (916) 734-7289
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
Interoperability endpoints
- ali1262018@direct.llu.edu
Organizations & group practices 14
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.
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CA
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- Multi-Specialty Clinic/Center
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CA
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
Plastic Surgery
-
- Orthopaedic Surgery Physician
- Colton, CA
- NPI 1669016499
-
- Ophthalmology Physician
- San Bernardino, CA
- NPI 1962452714
-
- Transplant Surgery Physician
- Las Vegas, NV
- NPI 1124560214
-
- Family Medicine Physician
- Redlands, CA
- NPI 1891472494
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1992930986
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1356573570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY",
"address_2": "NAOB SUITE 6003",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-7289",
"fax_number": "310-533-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY",
"address_2": "NAOB SUITE 6003",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "916-734-7289",
"fax_number": "310-533-1841"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St # 461",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-2700",
"fax_number": "310-533-1841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A113865",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A113865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.