Active NPI
Jingyuan Li
- Dentist
- El Monte, CA
National Provider Identifier
1366117293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106840
- Practice address
- 11766 Valley Blvd
El Monte, CA 91732-3044 - Phone
- (626) 448-5000
- NPI assigned
- Aug 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106840 | CA | Primary |
Addresses
Primary practice location
11766 Valley Blvd
El Monte, CA 91732-3044
Mailing address
805 S Chapel Ave Apt M
Alhambra, CA 91801-4424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106840 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jingyuan Li DDS Inc | Current | Accepting new patients | |
| Ma May Thet Naing, DDS., Inc | Past | Accepting new patients | |
| Ma May Thet Naing D.D.S. Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1730979592
-
- General Practice Dentistry
- El Monte, CA
- NPI 1609059070
-
- General Practice Dentistry
- Buena Park, CA
- NPI 1477798528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1366117293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S CHAPEL AVE APT M",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918014424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11766 VALLEY BLVD",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917323044",
"telephone_number": "626-448-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "JINGYUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.