John David Lii

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A128189 Issued in CA

Practice address

3398 Utah St
Riverside, CA 92507

Phone

(951) 824-0376

NPI assigned

May 8, 2012

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1508125733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 UTAH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073962",
            "telephone_number": "951-824-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3398 UTAH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-824-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3398 Utah St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925073962",
            "country_code": "US",
            "telephone_number": "951-824-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LII",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A128189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifehouse Riverside Operations, LLC. (Riverside Healthcare Center)
• Lifepath Center
• Lifepath Center PLLC
• Lifequality Nutrition Network Cooperative Inc. (Michelle Missy Porteous, MS, RD, CDE)
• Daniel Lightner
• Dorry Lillard, APCC
• Lillianna Residential Home
• Adriana Lilly, L.C.S.W
• David B. Lim, MD
• Dee W. Lim, MD

• Psychiatry Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.