Individual provider Active NPI

Tingan Li, LA.C

  • Acupuncturist
  • Newark, CA
National Provider Identifier
1710907449
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7225 Issued in CA
Practice address
39953 Balentine Dr
Newark, CA 94560-5373
Phone
(510) 651-7622
Fax
(866) 573-7421
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7225 CA Primary

Addresses

Primary practice location

39953 Balentine Dr
Newark, CA 94560-5373

Mailing address

4108 Moller Dr
Pleasanton, CA 94566-8440
Phone (510) 651-7622

Other identifiers 1

IdentifierTypeStateIssuer
171100000-AC7225OtherCATAXONOMY

Other names 1

  • Melinda Li Professional name

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
AC7225CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1710907449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 MOLLER DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668440",
            "telephone_number": "510-651-7622",
            "fax_number": "925-600-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39953 BALENTINE DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605373",
            "telephone_number": "510-651-7622",
            "fax_number": "866-573-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TINGAN",
        "credential": "LA.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "171100000-AC7225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "LI",
            "credential": "LA.C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.