Active NPI
Ming Li, D.C.
- Acupuncturist
- Cupertino, CA
National Provider Identifier
1659687044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16080
- Practice address
- 21613 Stevens Creek Blvd
Cupertino, CA 95014-1167 - Phone
- (408) 255-5018
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 16080 | CA | Primary |
| Chiropractor | 111N00000X | 31741 | CA |
Addresses
Primary practice location
21613 Stevens Creek Blvd
Cupertino, CA 95014-1167
Mailing address
21613 Stevens Creek Blvd.
Cupertino, CA 95014
Phone (408) 255-5018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31741 | Other | CA | CHIROPRACTOR |
| 16080 | Other | CA | ACUPUNCTURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21613 Stevens Creek Blvd
Cupertino, CA 95014-1167
Phone (408) 255-5018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31741 | CA | MD | Chiropractor |
| 16080 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lis Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Locations
21613 Stevens Creek Blvd
Cupertino, CA 95014
Phone (408) 255-5018
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1659687044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21613 STEVENS CREEK BLVD.",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "95014",
"telephone_number": "408-255-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21613 STEVENS CREEK BLVD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141167",
"telephone_number": "408-255-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "MING",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16080",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31741",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "31741",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE",
"identifier": "16080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.