BORAN LI (NPI# 1215279765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215279765 |
| Entity Type | Individual |
| Full Name | BORAN LI |
| Credential | MD |
| Practice Address |
1975 4th St San Francisco CA 94143-2351 |
| Mailing Address |
550 16th Street Box 0544 San Francisco CA 94143 |
| Practice Telephone | 4154769000 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A162132 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036.140327 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5721 S Maryland Ave, Chicago, IL 606371425 | 7737029659 |
| Street Address |
1975 4TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94143-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902841869 | Gail Sumiko Shibata | Anesthesiology | 1975 4th St, San Francisco, CA 94143-2351 | 2006-06-17 |
| 1023618394 | Kathrine Lee | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-10-27 |
| 1235742081 | Molly Moran Gorgol | Dietitian, Registered | 1975 4th St, San Francisco, CA 94143-2351 | 2020-08-30 |
| 1043832553 | Molly Koren | Social Worker | 1975 4th St, San Francisco, CA 94143-2351 | 2020-05-07 |
| 1396374849 | Kaitlyn Rose Kelley | Registered Nurse | 1975 4th St, San Francisco, CA 94143-2351 | 2020-04-06 |
| 1770119794 | Daniel Gonzalo Pique | Student in an Organized Health Care Education/Training Program | 1975 4th St, San Francisco, CA 94143-2351 | 2020-03-21 |
| 1215569546 | Christine Matthews-patrick | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2020-02-05 |
| 1881231066 | Caralisa Lacson | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-12-05 |
| 1770126328 | Rachel Leigh Carter | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-10-25 |
| 1932759735 | Grace Isabella Nelson | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909024 | Ana Chow | Social Worker | Ucsf - Benioff Children's Hospital, 1975 4th St, San Francisco, CA 94143 | 2020-07-13 |
| 1801413828 | Caroline Eilbeck Casey | Social Worker | 1975 4th Street, San Francisco, CA 94143 | 2020-06-26 |
| 1124642251 | Grace Kibuule | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave., S455, San Francisco, CA 94143 | 2020-06-04 |
| 1003436528 | Christian Karl Antonio | Nurse Practitioner | 505 Parnassus Avennue, San Francisco, CA 94143 | 2020-04-24 |
| 1144859752 | Reginald Nguyen | Student in an Organized Health Care Education/Training Program | 505 Parnassus Avenue, Room M24, San Francisco, CA 94143 | 2020-04-06 |
| 1851929830 | Jonathan Earl Freise | Student in an Organized Health Care Education/Training Program | Ucsf Department of Surgery, 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2020-03-27 |
| 1275160046 | Sang Minh Nguyen | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall, 4th Floor, San Francisco, CA 94143 | 2020-03-23 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1306307442 | Kayla Zamora | Student in an Organized Health Care Education/Training Program | 550-16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-30 |
| 1730649021 | Elizabeth Larken Burch | Student in an Organized Health Care Education/Training Program | Univerisity of California San Francisco 550 16th Street, Mission Hall 4th Floor, San Francisco, CA 94143 | 2019-03-22 |
| Find all providers in zip 94143 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215258124 | Alexander Lowenthal | Pediatrics | 505 Parnassus Ave Rm 1235, San Francisco, CA 94143-2204 | 2010-06-15 |
| 1255365003 | Jeffery J Meadows | Pediatrics | University of California At San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0001 | 2006-07-10 |
| 1306254594 | Kim Haberer | Pediatrics | 505 Parnassus Ave, Moffitt Room 1235, Box 0544, San Francisco, CA 94143-0544 | 2014-07-31 |
| 1487092987 | Tracy Marrs Conner | Pediatrics | 550 16th St Fl 5, San Francisco, CA 94158-2545 | 2013-06-06 |
| 1639306020 | Christopher K. Chyu | Pediatrics | 550 16th St, San Francisco, CA 94143-2549 | 2009-06-12 |
| 1093958555 | Ellen Chan | Pediatrics | 3700 California St, B555, San Francisco, CA 94118-1618 | 2009-04-14 |
| 1225292154 | Jennifer Jane Davenport | Pediatrics | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2008-07-10 |
| 1447325220 | Deepak Srivastava | Pediatrics | 505 Parnassus Ave, San Francisco, CA 94143-0296 | 2006-11-21 |
| 1881772499 | Michael R. Tyndall | Pediatrics | 2200 Ofarrell St, San Francisco, CA 94115-3357 | 2006-11-01 |
| 1558447631 | Sarina Kumari Behera | Pediatrics | 3700 California St, Ste 1535, San Francisco, CA 94118-1618 | 2006-10-31 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.