Individual provider Active NPI

Yan Li

  • Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1811719909
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95032654 Issued in CA
Practice address
511 N Brookhurst St
Anaheim, CA 92801-5231
Phone
(909) 728-7380
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1011

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1078

22731 Las Brisas Cir
Laguna Niguel, CA 92677-5412

23110 Atlantic Cir
Suite a
Moreno Valley, CA 92553-5920

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: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20250109000000 CA Practitioner - Nurse Practitioner 5799213401 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amer a Jandali MD Inc CurrentSince Jan 12, 2026 Accepting new patients
West Coast Psychiatry MD P.C. CurrentSince Jan 12, 2026 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

200 Freedom Ln
Aliso Viejo, CA 92656
Phone (213) 928-2194

23110 Atlantic Cir
Ste A
Moreno Valley, CA 92553
Phone (213) 928-2194

1660 Hotel Cir N
Ste 101
San Diego, CA 92108
Phone (619) 481-3840

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95032654 CA
Nurse Practitioner 363L00000X 95032654 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

511 N Brookhurst St
Anaheim, CA 92801-5231

Mailing address

22731 Las Brisas Cir
Laguna Niguel, CA 92677-5412
Phone (909) 728-7380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2025.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1811719909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22731 LAS BRISAS CIR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775412",
            "telephone_number": "909-728-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015231",
            "telephone_number": "909-728-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032654",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.