Individual provider Active NPI

Timothy Li, DO

  • Family Medicine Physician
  • Murrieta, CA
National Provider Identifier
1629361027
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A 12572 Issued in CA
Practice address
23811 Washington Ave # C110-220
Murrieta, CA 92562-2275
Phone
(951) 231-1385
Fax
(866) 686-7693
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A 12572 CA Primary

Addresses

Primary practice location

23811 Washington Ave # C110-220
Murrieta, CA 92562-2275

Mailing address

11555 1/2 Potrero Rd
Riverside-San Bernardino County Indian Health, Inc.
Banning, CA 92220-6946

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
I20241218000709 CA Practitioner - Family PracticePractitioner - General Practice 4284954496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Family Health, Inc.Group PAC ID 0749461531, 2 clinicians

Practice addresses (Care Compare)

24910 Las Brisas Rd
Suite 105
Murrieta, CA 92562-4010
Phone (951) 231-1385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 12572CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Health, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Murrieta Express Care, Inc Past Accepting new patients

Locations

23811 Washington Ave
#C110220
Murrieta, CA 92562
Phone (951) 231-1385

24910 Las Brisas Rd
Ste 105
Murrieta, CA 92562
Phone (951) 231-1385

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/3408/brand/2/csg/1/fhir/r4
  • Direct secure messaging: timothy.li.2@3408.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1629361027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 1/2 POTRERO RD",
            "address_2": "RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 WASHINGTON AVE # C110-220",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622275",
            "telephone_number": "951-231-1385",
            "fax_number": "866-686-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 12572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.