Angela Li Ni, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A73365 Issued in CA

Practice address

1535 W Merced Ave
Ste 206
West Covina, CA 91790-3404

Phone

(626) 338-0811

Fax

(626) 338-0922

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Li Ni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• John Z Wang MD Inc

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1861457327
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1962467423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-338-0811",
            "fax_number": "626-338-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-338-0811",
            "fax_number": "626-338-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "ANGELA",
        "middle_name": "LI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A73365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LI",
            "last_name": "NI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffnay Trungthu Nguyen, D.C.
• Tram Dang Nguyen, O.D.
• Trevor-Trung Nguyen
• Tuoc Ba Nguyen
• Myemouna I-D Ngwegni
• Natasha N. Nichols, MFTI
• Edmund James Nichter, M.D.
• Matthew Nieh
• Misook Oh Nierodzik, PSY. D.
• Leticia Nieto

• General Practice Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.