Active NPI
Wei Li
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPF95008525
- Practice address
- 808 W 58TH St
Los Angeles, CA 90037-3632 - Phone
- (323) 541-1600
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPF95008525 | CA | Primary |
Addresses
Primary practice location
808 W 58TH St
Los Angeles, CA 90037-3632
Mailing address
5107 Lante St
Baldwin Park, CA 91706-1842
Phone (626) 214-6468
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180601000527 | CA | Practitioner - Nurse Practitioner | 3870858475 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1555 S Garey Ave
Pomona, CA 91766-5222
Phone (626) 919-4333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95008525 | CA | MD | Family Nurse Practitioner |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Single Specialty | Current | Accepting new patients |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Single Specialty | Current | Accepting new patients |
| St. Johns Community Health | Single Specialty | Past | Accepting new patients |
Locations
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088
420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wei.li.p1@direct.evchc.nextgenshare.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- West Covina, CA
- NPI 1831243625
CA, Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
CA, Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Covina, CA
- NPI 1285046847
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1649324443
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1003068206
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1780376947
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1386147221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5107 LANTE ST",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917061842",
"telephone_number": "626-214-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "323-541-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "WEI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NPF95008525",
"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 Mar 16, 2018; 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.