Individual provider Active NPI

Li Zhu, M.D.

  • Pediatrics Physician
  • San Leandro, CA
National Provider Identifier
1558442020
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85043 Issued in CA
Practice address
101 Callan Ave Ste 105
San Leandro, CA 94577-4584
Phone
(510) 357-7077
Fax
(510) 357-4364
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A85043 CA Primary

Addresses

Primary practice location

101 Callan Ave Ste 105
San Leandro, CA 94577-4584

Mailing address

101 Callan Ave Ste 105
San Leandro, CA 94577-4584
Phone (510) 357-7077

Other identifiers 1

IdentifierTypeStateIssuer
00A850430MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125002784 CA Practitioner - Pediatric Medicine 5193062313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A85043CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Jan 2, 2019 Accepting new patients
Asian Health Services CurrentSince Jan 2, 2019 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Asian Health Services Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients

Locations

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

Interoperability endpoints

  • Direct secure messaging: lzhu273845@direct.ochin.org

Organizations & group practices 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1558442020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CALLAN AVE STE 105",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774584",
            "telephone_number": "510-357-7077",
            "fax_number": "510-357-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CALLAN AVE STE 105",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774584",
            "telephone_number": "510-357-7077",
            "fax_number": "510-357-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHU",
        "first_name": "LI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A850430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.