Active NPI
Lillian Li
- Acupuncturist
- San Gabriel, CA
National Provider Identifier
1588359756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC19635
- Practice address
- 107 E Broadway Apt B
San Gabriel, CA 91776-6836 - Phone
- (909) 703-9785
- NPI assigned
- Apr 5, 2023
- Last updated
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC19635 | CA | Primary |
Addresses
Primary practice location
107 E Broadway Apt B
San Gabriel, CA 91776-6836
Mailing address
107 E Broadway Apt B
San Gabriel, CA 91776-6836
Phone (909) 703-9785
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC19635 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 66 Acupuncture & Herbs, Inc. | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1588359756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E BROADWAY APT B",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917766836",
"telephone_number": "909-703-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E BROADWAY APT B",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917766836",
"telephone_number": "909-703-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "LILLIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC19635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.