Active NPI
Tian R Li
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1831866631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1985 Zonal Ave
Los Angeles, CA 90089-1802 - Phone
- (323) 442-1369
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1985 Zonal Ave
Los Angeles, CA 90089-1802
Mailing address
978 1/2 Chung King Rd Apt a
Los Angeles, CA 90012-1754
Phone (213) 880-8878
Other practice location 1
5585 Rosemead Blvd
Temple City, CA 91780-1802
Phone (626) 287-9959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90354650E05143 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Southern California School of Pharmacy | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1598138653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1831866631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "978 1/2 CHUNG KING RD APT A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900121754",
"telephone_number": "213-880-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 ZONAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891802",
"telephone_number": "323-442-1369"
}
],
"practiceLocations": [
{
"address_1": "5585 Rosemead Blvd",
"address_purpose": "LOCATION",
"city": "Temple City",
"state": "CA",
"postal_code": "917801802",
"country_code": "US",
"telephone_number": "626-287-9959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "TIAN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90354650E05143",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.