Active NPI
Gang Li, M.D.
- Pain Medicine (Anesthesiology) Physician
- Campbell, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A111738
- Practice address
- 3425 S Bascom Ave
Ste 200
Campbell, CA 95008-7300 - Phone
- (408) 356-5292
- Fax
- (408) 356-5307
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN9552 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A111738 | CA | Primary |
Addresses
Primary practice location
3425 S Bascom Ave
Ste 200
Campbell, CA 95008-7300
Mailing address
3425 S Bascom Ave
Ste 200
Campbell, CA 95008-7300
Phone (408) 356-5292
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15047 Los Gatos Blvd
Suite 200
Los Gatos, CA 95032-2054
Phone (408) 364-6799
18181 Butterfield Blvd
Suite 140
Morgan Hill, CA 95037-8108
Phone (408) 356-5292
3097 Moorpark Ave
Suite 200
San Jose, CA 95128-2543
Phone (408) 244-7246
3425 S Bascom Ave
Suite 200
Campbell, CA 95008-7300
Phone (408) 356-5292
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A111738 | CA | MD | Pain Medicine (Anesthesiology) Physician |
| TRN9552 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain & Injury Institute PC | Current | Accepting new patients | |
| Integrated Pain Management Medical Group, Inc. | Current | Accepting new patients | |
| Center for Pain & Rehabilitation Medicine | Current | Accepting new patients | |
| El Camino Health Medical Network, LLC | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients |
Locations
3425 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 356-5292
15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799
18181 Butterfield Blvd
Ste 140
Morgan Hill, CA 95037
Phone (408) 356-5292
3097 Moorpark Ave
Ste 200
San Jose, CA 95128
Phone (408) 244-7246
999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950
450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Jose, CA
- NPI 1477573285
-
dba Boomerang Healthcare
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1922198779
-
- Pain Clinic/Center
- San Jose, CA
- NPI 1013750512
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1750478681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "STE 200",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087300",
"telephone_number": "408-356-5292",
"fax_number": "408-356-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "STE 200",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087300",
"telephone_number": "408-356-5292",
"fax_number": "408-356-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "GANG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN9552",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A111738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.