Individual provider Active NPI

Weiguo Li, M.D.,PH.D.

  • Family Medicine Physician
  • Alhambra, CA
National Provider Identifier
1972640142
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63308 Issued in CA
Practice address
25 S Raymond Ave Ste 111
Alhambra, CA 91801-7142
Phone
(626) 943-1818
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63308 CA Primary

Addresses

Primary practice location

25 S Raymond Ave Ste 111
Alhambra, CA 91801-7142

Mailing address

25 S Raymond Ave Ste 111
Alhambra, CA 91801-7142
Phone (626) 943-1818

Other identifiers 1

IdentifierTypeStateIssuer
00A633080MedicaidCA

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
I20101101001545 CA Practitioner - Family Practice 8426242694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 S Raymond Ave
Suite 111
Alhambra, CA 91801-7142
Phone (626) 943-1818

Hospital & facility affiliations

  • Care Best Home Health Inc Home health agency, Alhambra, CA, CCN 058115
  • Allegiance Home Health, Inc Home health agency, Alhambra, CA, CCN 058253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A63308CAMDFamily Medicine Physician
63308CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingtrust Diagnostics Inc Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1972640142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 111",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-943-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S RAYMOND AVE STE 111",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017142",
            "telephone_number": "626-943-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WEIGUO",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A633080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.