Active NPI
Shyh Mine Lii, M.D.
- General Practice Physician
- Rosemead, CA
National Provider Identifier
1922150267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A48765
- Practice address
- 3859 Rosemead Blvd
Rosemead, CA 91770-1976 - Phone
- (626) 572-4044
- Fax
- (626) 572-0962
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A48765 | CA | Primary |
Addresses
Primary practice location
3859 Rosemead Blvd
Rosemead, CA 91770-1976
Mailing address
3859 N. Rosemead Blvd
Rosemead, CA 91770
Phone (626) 572-4044
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A487651 | Medicaid | CA | |
| 95-4838332 | Other | CA | TAX ID |
| 95-4378100 | Other | CA | TAX ID |
| A48765 | Other | CA | LICENSE NUMBER |
Other names 1
- Dr. Sherman Lii
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120822000795 | CA | Practitioner - General Practice | 6103073309 | Practice locations: Rosemead, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3859 N Rosemead Blvd
Rosemead, CA 91770-1976
Phone (626) 572-4044
3859 Rosemead Blvd
Rosemead, CA 91770-1976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | 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 and National Provider Directory roles.
-
dba Garfield Medical Center
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
dba AHMC San Gabriel Valley Medical Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1922150267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3859 N. ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "91770",
"telephone_number": "626-572-4044",
"fax_number": "626-572-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3859 ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701976",
"telephone_number": "626-572-4044",
"fax_number": "626-572-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LII",
"first_name": "SHYH MINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A48765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A487651",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-4838332",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-4378100",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A48765",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERMAN",
"last_name": "LII",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.