Daisy Li, DO, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAISY LI, DO, INC.

Practice address

1525 N El Dorado St Ste 1
Stockton, CA 95204-5932

Phone

(209) 452-8368

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Daisy Li, DONPI 1740770007

Title

President

Phone

(415) 823-6976

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daisy Li

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1740770007
  Medicare reassignment NPD Authorized official
• Lian Soung, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1174510747
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1558933374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N EL DORADO ST STE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N EL DORADO ST STE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045932",
            "telephone_number": "209-452-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY LI, DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-823-6976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Christine Dahl, M.A., ATC
• Alexis Rose Dahley
• Tiffanie Dai, FNP
• Shelia Berneadette Daigle-Beaird
• Daisy G. Ison, D.M.D., Inc.
• Sammy Dajani
• Latonya Dale
• Jane Ojales Dalisay, DO
• Amanda Nicole Dallas
• Christina Damas

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.