Individual provider Active NPI

William Li, PA-C

  • Physician Assistant
  • Daly City, CA
National Provider Identifier
1447735006
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56609 Issued in CA
Practice address
325 Gellert Blvd
Daly City, CA 94015-2613
Phone
(650) 270-2394
Fax
(650) 270-2396
NPI assigned
Sep 30, 2018
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56609 CA Primary

Addresses

Primary practice location

325 Gellert Blvd
Daly City, CA 94015-2613

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20190415002413 CA Practitioner - Physician Assistant 4385985670 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1033 Clement St
San Francisco, CA 94118-2112
Phone (415) 391-9686

1400 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1422 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686

82 Leland Ave
San Francisco, CA 94134-2804
Phone (415) 391-9688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56609CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Mar 1, 2019 Accepting new patients
North East Medical Services Current Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Oct 23, 2021 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2019 Accepting new patients
North East Medical Services CurrentSince Aug 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2019 Accepting new patients
North East Medical Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1400 Noriega St
San Francisco, CA 94122

1450 Noriega St
San Francisco, CA 94122

3431 Taraval St
San Francisco, CA 94116

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: william.li@guc.eclinicaldirectplus.com
  • Direct secure messaging: wli111074@santaclaravalley.direct-ci.net
  • Direct secure messaging: wli24870@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1447735006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GELLERT BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152613",
            "telephone_number": "650-270-2394",
            "fax_number": "650-270-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.