Individual provider Active NPI

David Zhi Hao Li, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Sunnyvale, CA
National Provider Identifier
1861750507
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
20A14459 Issued in CA
Practice address
350 Potrero Ave
Sunnyvale, CA 94085-4116
Phone
(888) 926-9385
Fax
(408) 716-2762
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 20A14459 CA Primary

Addresses

Primary practice location

350 Potrero Ave
Sunnyvale, CA 94085-4116

Mailing address

350 Potrero Ave
Sunnyvale, CA 94085-4116
Phone (888) 926-9385

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160816002815 CA Practitioner - Family PracticePractitioner - Sports Medicine 9931330982 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14459CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Feb 17, 2024 Accepting new patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Feb 17, 2024 Accepting new patients

Locations

728 Pacific Ave
Fl 2
San Francisco, CA 94133
Phone (415) 333-8909

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

728 Pacific Ave
Ste 301
San Francisco, CA 94133
Phone (415) 433-3318

1520 Stockton St
San Francisco, CA 94133

Interoperability endpoints

  • Direct secure messaging: dli18906@northeastmedicalservicesnems.direct-ci.com
  • Direct secure messaging: david.li@49412312072196.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1861750507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POTRERO AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854116",
            "telephone_number": "888-926-9385",
            "fax_number": "408-716-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POTRERO AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854116",
            "telephone_number": "888-926-9385",
            "fax_number": "408-716-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "DAVID",
        "middle_name": "ZHI HAO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A14459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.