Individual provider Active NPI

Yongchao Li, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Omaha, NE
National Provider Identifier
1851824940
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A172044 Issued in CA
Practice address
2121 N 117TH Ave
Omaha, NE 68164-3629
Phone
(402) 677-8872
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A172044 CA Primary
Anatomic Pathology Physician 207ZP0101X 77841 AZ

Addresses

Primary practice location

2121 N 117TH Ave
Omaha, NE 68164-3629

Mailing address

2121 N 117TH Ave
Omaha, NE 68164-3629
Phone (402) 677-8872

Other practice location 1

3030 Old Ranch Pkwy
Seal Beach, CA 90740-2766
Phone (562) 799-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220601002706 CA Practitioner - Pathology 8628456720 Reassigns benefits to 3 organizations
I20250916000742 AZ Practitioner - Pathology 8628456720 Reassigns benefits to 1 organization
I20260326003061 NE Practitioner - Pathology 8628456720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Services PCGroup PAC ID 5092803437, 3 clinicians

Practice addresses (Care Compare)

2121 N 117TH Ave
Suite 100a
Omaha, NE 68164-3629
Phone (308) 532-4700

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A172044CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Pathology Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2023 Accepting new patients
Sterling Pathology Medical Corporation CurrentSince Aug 11, 2025 Accepting new patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Sep 11, 2025 Accepting new patients
Affiliated Pathologists Medical Group, Inc. Anatomic Pathology CurrentSince Jun 1, 2023 Accepting new patients
Sterling Pathology Medical Corporation Anatomic Pathology & Clinical Pathology CurrentSince Aug 11, 2025 Accepting new patients
St Josephs Pathology Anatomic Pathology Past Accepting new patients
Interpath Laboratory, Inc. Past Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

3030 Old Ranch Pkwy
Ste 430
Seal Beach, CA 90740
Phone (562) 799-5518

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Interoperability endpoints

  • Direct secure messaging: yli831771@direct.memorialcare.org

Organizations & group practices 8

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1851824940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643629",
            "telephone_number": "402-677-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N 117TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643629",
            "telephone_number": "402-677-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Old Ranch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907402766",
            "country_code": "US",
            "telephone_number": "562-799-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "YONGCHAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A172044",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AZ",
            "license": "77841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.