Active NPI
David Hop Li, M.D.
- VA Clinic/Center
- San Jose, CA
National Provider Identifier
1972609063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- License
- G76500
- Practice address
- 80 Great Oaks Blvd
San Jose, CA 95119-1310 - Phone
- (408) 363-3000
- Fax
- (408) 363-3088
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | G76500 | CA | Primary |
Addresses
Primary practice location
80 Great Oaks Blvd
San Jose, CA 95119-1310
Mailing address
10185 Jean Ellen CT
Gilroy, CA 95020-9442
Phone (408) 846-9345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G76500 | Other | CA | LICENSE |
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 |
|---|---|---|---|---|
| I20130925000580 | CA | Order and Referring Only - Internal Medicine | 9638313018 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76500 | CA | MD | VA Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VA Palo Alto Healthcare System | VA | Past | Accepting new patients |
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": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972609063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10185 JEAN ELLEN CT",
"city": "GILROY",
"state": "CA",
"postal_code": "950209442",
"telephone_number": "408-846-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GREAT OAKS BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191310",
"telephone_number": "408-363-3000",
"fax_number": "408-363-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "DAVID",
"middle_name": "HOP",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "CA",
"license": "G76500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G76500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.