Individual provider Active NPI

Yixing Li, DO

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1972024024
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A17820 Issued in CA
Practice address
1411 La Palma Ave
Suite 404
Anaheim, CA 92801
Phone
(714) 772-8282
NPI assigned
Jun 29, 2017
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20A17820 CA Primary

Addresses

Primary practice location

1411 La Palma Ave
Suite 404
Anaheim, CA 92801

Mailing address

247 N Sagamore St
Anaheim, CA 92807-2810
Phone (917) 536-0379

Other names 1

  • Alex Li Other name

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
I20200818003938 CA Practitioner - Internal Medicine 8628494804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakersfield Family Medical Group IncGroup PAC ID 9335052737, 20 clinicians

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 404
Anaheim, CA 92801-2806
Phone (714) 772-8282

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17820CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Family Medical Group Inc Internal Medicine CurrentSince Jul 6, 2020 Accepting new patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

4580 California Ave
Bakersfield, CA 93309
Phone (661) 327-4411

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yixing.li.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: yixing.li.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1972024024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N SAGAMORE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072810",
            "telephone_number": "917-536-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LA PALMA AVE",
            "address_2": "SUITE 404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-772-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "YIXING",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A17820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "LI",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.