Evelyn E. Li, M.D., a Professional Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G48660 Issued in CA

Legal business name

EVELYN E. LI, M.D., A PROFESSIONAL CORPORATION

Practice address

27206 Calaroga Ave
Suite 120
Hayward, CA 94545-4300

Phone

(510) 770-1300

Fax

(510) 770-9570

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Evans Li, M.D.NPI 1235142761

Title

President

Phone

(510) 770-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Evelyn Evens Li, M.D.

  • Specialist
  • Fremont, CA
  • NPI 1235142761
  Medicare reassignment NPD Authorized official
• Jamie Thien-Huong Nguyen, MD

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1053442020
  NPD (past)
• Susan Sui-Sang Wong, M.D.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1851585020
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1598898330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14858",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945391858",
            "telephone_number": "510-770-1865",
            "fax_number": "510-770-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "SUITE 120",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-770-1300",
            "fax_number": "510-770-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN E. LI, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-770-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G48660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexxis Eugene
• Carolyn Eusebio
• Jaime V. Evangelista, Jr, DMD
• Alexandrea Evans
• Gregory Delano Evans, ACSW
• Lawrisha Imo Everett
• Evergreen Pharmaceutical of California, LLC (Omnicare of Hayward #48213)
• Donna Everix, PT
• Everside Health-Ca Ironworkers-Hayward
• Ana Kristel Ewart

• Cardiovascular Disease Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.