Individual provider Active NPI

Gang Li, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Campbell, CA
National Provider Identifier
1750478681
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A111738 Issued in CA
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

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000375 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 1153590997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians
Center for Pain and Rehabilitation MedicineGroup PAC ID 7214935055, 2 clinicians

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

LicenseStateTypeSpecialty
A111738CAMDPain Medicine (Anesthesiology) Physician
TRN9552FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain & Injury Institute PC CurrentSince Jan 20, 2025 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Center for Pain & Rehabilitation Medicine CurrentSince Jan 20, 2025 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.