Li Li, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A73749 Issued in CA

Practice address

2930 Eastern Ave
Sacramento, CA 95821-4210

Phone

(916) 972-8966

Fax

(916) 972-8916

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eastern Medical Center Professional Medical Corporation

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1598093262
  Medicare reassignment Authorized official
• Eastern Medical Center

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1215020508
  NPD (past)
• Mayfair Medical Systems, PC

  • Primary Care Clinic/Center
  • Sacramento, CA
  • NPI 1710696661
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1710959523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214210",
            "telephone_number": "916-972-8966",
            "fax_number": "916-972-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 EASTERN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214210",
            "telephone_number": "916-972-8966",
            "fax_number": "916-972-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "LI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A73749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7721239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Li, MD
• Joshua Li, MD
• Kristine Li
• Lei Li, MD, PHD
• Leonard Li
• Long Li, M.D.
• Long Ca Li
• Lulu Li, MD
• Michael Li, MD
• NA Li

• General Practice Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.