Active NPI
Victor Li, MD
- Pain Medicine (Anesthesiology) Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A77617
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A776170 | Other | CA | BLUE SHIELD |
| 00A776170 | Medicaid | CA | |
| A77617 | Other | CA | BLUE 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
Enrollment records 1
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
- Dominican Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.31 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 61.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77617 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc. | Current | Accepting new patients | |
| Doctors on Duty Medical Group, Inc | Current | Accepting new patients | |
| Victor Li MD a Professional Medical | Current | Accepting new patients | |
| Howard J Rosen MD Inc. | Past | 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
- 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.
-
- Addiction Medicine (Anesthesiology) Physician
- Capitola, CA
- NPI 1538227897
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1669557930
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
-
- Interventional Pain Medicine Physician
- Monterey, CA
- NPI 1649290859
-
- General Acute Care Hospital
- Watsonville, CA
- NPI 1710958228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1427181007
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.