Active NPI
Qing Li
- Massage Therapist
- Daly City, CA
National Provider Identifier
1811640469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5380
- Practice address
- 46 Woodside Ave
Daly City, CA 94015-4240 - Phone
- (626) 428-4695
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5380 | CA | Primary |
Addresses
Primary practice location
46 Woodside Ave
Daly City, CA 94015-4240
Mailing address
46 Woodside Ave
Daly City, CA 94015-4240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015891892 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 6264284695 |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5380 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1811640469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 WOODSIDE AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 WOODSIDE AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940154240",
"telephone_number": "626-428-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "QING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "5380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015891892",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "6264284695",
"affiliation": "N",
"address_1": "46 Woodside Ave",
"city": "Daly City",
"state": "CA",
"country_code": "US",
"postal_code": "940154240",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.