Individual provider Active NPI

Baoping Li, LIC. AC., & O.M.D.

  • Acupuncturist
  • Davis, CA
National Provider Identifier
1558419622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 4959 Issued in CA
Practice address
1736 Picasso Ave
Suite B
Davis, CA 95618
Phone
(530) 756-8802
Fax
(530) 756-8852
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 4959 CA Primary

Addresses

Primary practice location

1736 Picasso Ave
Suite B
Davis, CA 95618

Mailing address

1736 Picasso Ave
Suite B
Davis, CA 95618
Phone (530) 756-8802

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

LicenseStateTypeSpecialty
AC 4959CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Clinic Acupuncturist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1031.epichosted.com/FHIRProxy/NLC/api/FHIR/R4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558419622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 PICASSO AVE",
            "address_2": "SUITE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-756-8802",
            "fax_number": "530-756-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 PICASSO AVE",
            "address_2": "SUITE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-756-8802",
            "fax_number": "530-756-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BAOPING",
        "credential": "LIC. AC., & O.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 4959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.