Individual provider Active NPI

Edward Li, M.D.

  • Physical Medicine & Rehabilitation Physician
  • La Mirada, CA
National Provider Identifier
1699066795
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A158004 Issued in CA
Practice address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone
(714) 367-5390
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 16643 NV
Physical Medicine & Rehabilitation Physician 208100000X 296210 NY
Physical Medicine & Rehabilitation Physician 208100000X 50924 AZ
Physical Medicine & Rehabilitation Physician 208100000X A158004 CA Primary

Addresses

Primary practice location

16702 Valley View Ave
La Mirada, CA 90638-5824

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824

Other identifiers 1

IdentifierTypeStateIssuer
1699066795MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190702002941 NY Practitioner - Physical Medicine and Rehabilitation 7315253093 Reassigns benefits to 1 organization
I20211104000861 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7315253093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

5345 Irwindale Ave
Irwindale, CA 91706-2025
Phone (626) 960-5361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296210NYMDLicensed Practical Nurse
A158004CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jun 14, 2022 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jun 14, 2022 Accepting new patients
East Point Medical PC CurrentSince Jan 1, 2021 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Oct 27, 2021 Accepting new patients
Maimonides Medical Center Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients

Locations

3900 Garfield Ave
Carmichael, CA 95608
Phone (916) 481-6455

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000

5345 Irwindale Ave
Irwindale, CA 91706
Phone (626) 960-5361

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

5716 Corsa Ave
Westlake Village, CA 91362

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1699066795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "16643",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "296210",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "50924",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A158004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699066795",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.