Individual provider Active NPI

Jijuan Li, LAC

  • Acupuncturist
  • Arcadia, CA
National Provider Identifier
1700960481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC # 8155 Issued in CA
Practice address
623 W Duarte Rd
# 2A
Arcadia, CA 91007-7330
Phone
(626) 254-8958
Fax
(626) 254-8558
NPI assigned
Oct 25, 2006
Sex
Female
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
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X LAC # 8155 CA Primary

Addresses

Primary practice location

623 W Duarte Rd
# 2A
Arcadia, CA 91007-7330

Mailing address

623 W Duarte Rd
# 2A
Arcadia, CA 91007-7330
Phone (626) 254-8958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC # 8155CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Li Sage Acupuncture Single Specialty Past Accepting new patients
Asclepius Wellness Center Acupuncturist Past Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700960481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD",
            "address_2": "# 2A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077330",
            "telephone_number": "626-254-8958",
            "fax_number": "626-254-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD",
            "address_2": "# 2A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077330",
            "telephone_number": "626-254-8958",
            "fax_number": "626-254-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIJUAN",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "LAC # 8155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.