Individual provider Active NPI

Xiaodan Li

  • Acupuncturist
  • Cupertino, CA
National Provider Identifier
1811220510
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
20445 Pacifica Dr
Ste A1
Cupertino, CA 95014-3017
Phone
(650) 766-8718
Fax
(408) 996-7358
NPI assigned
Sep 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 13263 CA
Acupuncturist 171100000X Primary

Addresses

Primary practice location

20445 Pacifica Dr
Ste A1
Cupertino, CA 95014-3017

Mailing address

20445 Pacifica Dr
Ste A1
Cupertino, CA 95014-3017
Phone (650) 766-8718

Other names 1

  • Mrs. Yoshie Anto Other 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
AC 13263CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumina Zen Acupuncture Inc Acupuncturist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1252713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1811220510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 PACIFICA DR",
            "address_2": "STE A1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143017",
            "telephone_number": "650-766-8718",
            "fax_number": "408-996-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 PACIFICA DR",
            "address_2": "STE A1",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143017",
            "telephone_number": "650-766-8718",
            "fax_number": "408-996-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "XIAODAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-12",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13263",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOSHIE",
            "last_name": "ANTO",
            "prefix": "MRS.",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.