Individual provider Active NPI

Natalie Li, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1972501591
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11909T Issued in CA
Practice address
10531 4S Commons Dr Ste 168
San Diego, CA 92127-3517
Phone
(858) 675-2020
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11909T CA Primary

Addresses

Primary practice location

10531 4S Commons Dr Ste 168
San Diego, CA 92127-3517

Mailing address

10531 4S Commons Dr Ste 168
San Diego, CA 92127-3517
Phone (858) 675-2020

Other identifiers 2

IdentifierTypeStateIssuer
953987985OtherCATAX ID
WOP11909COtherCAPPIN

Other names 1

  • Natalie Le Professional 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819006554 CA Practitioner - Optometry 2860707593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4S Optometric GroupGroup PAC ID 7315252046, 3 clinicians

Practice addresses (Care Compare)

10531 4S Commons Dr
Suite 168
San Diego, CA 92127-3517
Phone (858) 675-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11909TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
4S Optometric Group Optometrist CurrentSince Jul 1, 2015 Accepting new patients

Locations

10531 4S Commons Dr
Ste 168
San Diego, CA 92127
Phone (858) 675-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1972501591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-675-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-675-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "NATALIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11909T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953987985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WOP11909C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "LE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.