Individual provider Active NPI

Victor Li, MD

  • Pain Medicine (Anesthesiology) Physician
  • Santa Cruz, CA
National Provider Identifier
1629150511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A77617 Issued in CA
Practice address
3143 Paul Sweet Rd
Santa Cruz, CA 95065-1521
Phone
(831) 464-7246
Fax
(831) 464-7744
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

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
Pain Medicine (Anesthesiology) Physician 207LP2900X A77617 CA Primary

Addresses

Primary practice location

3143 Paul Sweet Rd
Santa Cruz, CA 95065-1521

Mailing address

3143 Paul Sweet Rd
Santa Cruz, CA 95065-1521
Phone (831) 464-7246

Other identifiers 3

IdentifierTypeStateIssuer
00A776170OtherCABLUE SHIELD
00A776170MedicaidCA
A77617OtherCABLUE CROSS

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
I20050803000634 CA Practitioner - Pain ManagementPractitioner - Interventional Pain Management 9234167321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4140 Jade St
Suite 102
Capitola, CA 95010-3940
Phone 83146472467

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

Merit-based Incentive Payment System (MIPS)

Final score
18.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77617CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Aug 8, 2014 Accepting new patients
Victor Li MD a Professional Medical CurrentSince Jul 20, 1970 Accepting new patients
Howard J Rosen MD Inc. PastSince Sep 15, 2014 Accepting new patients
Watsonville Hospital Corporation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

4140 Jade St
Ste 102
Capitola, CA 95010
Phone (831) 464-7246

99 Airport Blvd
Freedom, CA 95019
Phone (831) 724-7521

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

558 Abbott St
#A
Salinas, CA 93901
Phone (831) 242-8645

2 Rossi Cir
Salinas, CA 93907
Phone (831) 757-0444

951 Blanco Cir
Ste B
Salinas, CA 93901
Phone (831) 422-5555

947 Blanco Cir
Ste A
Salinas, CA 93901
Phone (831) 422-5555

1910 N Capitol Ave
San Jose, CA 95132
Phone (408) 942-0333

3143 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-4801

615 Ocean St
Santa Cruz, CA 95060
Phone (831) 425-7991

1513 Fremont Blvd
#E1
Seaside, CA 93955
Phone (831) 899-1910

1505 Main St
Watsonville, CA 95076
Phone (831) 722-1444

40 Penny Ln
Ste 4
Watsonville, CA 95076
Phone (831) 763-4444

Interoperability endpoints

  • Direct secure messaging: victor.li@3856.securemail.prognocis.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629150511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 PAUL SWEET RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651521",
            "telephone_number": "831-464-7246",
            "fax_number": "831-464-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 PAUL SWEET RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651521",
            "telephone_number": "831-464-7246",
            "fax_number": "831-464-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A77617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A776170",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A776170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A77617",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.