Organization Active NPI

Eric Li MD and Associates Inc

  • Plastic and Reconstructive Surgery Physician
  • Cupertino, CA
National Provider Identifier
1891330452
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ERIC LI MD AND ASSOCIATES INC
Practice address
10430 S de Anza Blvd Ste 170
Cupertino, CA 95014-3000
Phone
(408) 883-7943
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Dr. Eric Yu Kit Li, MDNPI 1780030478
Title
Plastic Surgeon
Phone
(408) 680-1793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

10430 S de Anza Blvd Ste 170
Cupertino, CA 95014-3000

Mailing address

1313 Auzerais Ave
San Jose, CA 95126-3478
Phone (408) 680-1793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218002247 CA Part B Supplier - Clinic/Group Practice 3375977739 Receives reassigned benefits from 1 practitioner
Practice locations: Campbell, CA; Los Gatos, CA

National Provider Directory

National Provider Directory

Locations

1408 Camden Ave
Campbell, CA 95008
Phone (408) 883-7943

10430 S De Anza Blvd
Ste 170
Cupertino, CA 95014
Phone (408) 650-8989

555 Knowles Dr
Ste 218
Los Gatos, CA 95032
Phone (408) 871-1885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1891330452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 AUZERAIS AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263478",
            "telephone_number": "408-680-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD STE 170",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143000",
            "telephone_number": "408-883-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LI MD AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "YU KIT",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "408-680-1793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.