NPIMap

Individual provider Active NPI

Edward Li, MD

  • Vascular Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1770608499
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A108991 Issued in CA
Practice address
222 W Pueblo St
Santa Barbara, CA 93105-3805
Phone
(805) 643-3330
Fax
(805) 643-3331
NPI assigned
Mar 20, 2007
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A108991 CA Primary

Addresses

Primary practice location

222 W Pueblo St
Santa Barbara, CA 93105-3805

Mailing address

100 N Brent St Suite 203
Ventura, CA 93004
Phone (805) 643-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000560 CA Practitioner - Vascular Surgery 8426196247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin M Casey MD ApmcGroup PAC ID 8729411046, 4 clinicians

Practice addresses (Care Compare)

1300 E Cypress St
Suite C1
Santa Maria, CA 93454-4734
Phone 8054568890127

2621 De la Vina St
Santa Barbara, CA 93105-3823
Phone 8054568890127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal74
Leg revascularization (restoring blood flow)57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108991CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M Casey MD Apmc Vascular Surgery CurrentSince Jan 1, 2022 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Vascular Surgery Associates Vascular Surgery PastSince Aug 2, 2009 Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

2051 Solar Dr
Ste 150
Oxnard, CA 93036
Phone (805) 456-8890

1919 State St
Ste 204
Santa Barbara, CA 93101
Phone (805) 456-8890

2621 De la Vina St
Santa Barbara, CA 93105
Phone (805) 456-8890

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: edwardli@wcv.allscriptsdirect.net

Organizations & group practices 4

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 6

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1770608499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST SUITE 203",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053805",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A108991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.