Individual provider Active NPI

Sam S Li, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1841999166
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-26429 Issued in CA
Practice address
2436 Judah St
San Francisco, CA 94122-1436
Phone
(415) 682-0706
Fax
(415) 707-6800
NPI assigned
Feb 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-26429 CA Primary

Addresses

Primary practice location

2436 Judah St
San Francisco, CA 94122-1436

Mailing address

2436 Judah St
San Francisco, CA 94122-1436
Phone (415) 682-0706

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
DC-26429CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Li Chiropractic Inc Chiropractor CurrentSince Jan 5, 2025 Accepting new patients

Locations

2436 Judah St
San Francisco, CA 94122
Phone (415) 682-0706

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": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1841999166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221436",
            "telephone_number": "415-682-0706",
            "fax_number": "415-707-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 JUDAH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221436",
            "telephone_number": "415-682-0706",
            "fax_number": "415-707-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SAM",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-26429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.