Rina Li
Individual provider Active NPI Physician Assistant · Coolidge, AZ
NPI 1972264877 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1972264877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10015 (AZ)
- Practice address
- 1284 N Arizona Blvd
Coolidge, AZ 85128-3206 - Phone
- (520) 723-9131
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sun Life Family Health Center Inc
Practice addresses (Care Compare)
1284 N Arizona Blvd
Coolidge, AZ 85128-3206
Phone (520) 723-9131
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Phone (520) 836-3446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231011003156 | AZ | Practitioner - Physician Assistant | 3577918598 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10015 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Physician Assistant | Current |
Accepting new patients |
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current |
Accepting new patients | |
| Sun Life Family Health Center, Inc. | Current |
Accepting new patients | |
| Sun Life Family Health Center, Inc | Past | Accepting new patients |
Locations
580 N Camino Mercado
Ste 8
Casa Grande, AZ 85122
Phone (520) 381-0380
1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380
1864 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 381-0320
865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471
1284 N Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-9131
205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883
174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811
10032 E Southern Ave
Mesa, AZ 85209
Phone (480) 339-2853
1040 W American Ave
Oracle, AZ 85623
Phone (520) 252-4707
23 S McNab Pkwy
San Manuel, AZ 85631
Phone (520) 385-2234
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10015 | AZ | Yes |
Addresses
Primary practice location
1284 N Arizona Blvd
Coolidge, AZ 85128-3206
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446
Other providers in Coolidge, AZ
- Keshavjivan PLLC
- Rasha Kumar
- Taylor Larue
- Taylor Lauren Lavender
- Laura Grace Lew
- Jessica R Liu
- Jamie Logsdon
- Ramon Angel Lopez
- Lucyrenes Care Homes
- Mark W. Lutz
All providers in Coolidge, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.