EDMUND LI (NPI# 1790137057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790137057 |
| Entity Type | Individual |
| Full Name | EDMUND LI |
| Credential | PA |
| Practice Address |
728 Pacific Ave Suite 505 San Francisco CA 94133-4457 |
| Mailing Address |
2670 S White Rd Ste 200 San Jose CA 95148-2073 |
| Practice Telephone | 4159568321 |
| Mailing Telephone | 4087294290 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA53566 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
728 PACIFIC AVE SUITE 505 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94133-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345613 | Shiu Yuen Kwok | Specialist | 728 Pacific Ave, # 702, San Francisco, CA 94133-4457 | 2005-09-02 |
| 1497298517 | North East Medical Services | Clinic/Center | 728 Pacific Ave, Second Floor, San Francisco, CA 94133-4457 | 2016-11-21 |
| 1427459189 | Enlight Consulting Co | Internal Medicine | 728 Pacific Ave, Suite 501, San Francisco, CA 94133-4449 | 2014-09-11 |
| 1447530076 | Kenneth H Chang Md A Medical Corp | Internal Medicine | 728 Pacific Ave, Suite 402, San Francisco, CA 94133-4457 | 2011-08-26 |
| 1801048269 | Ka Yan Mary Fong | Dentist | 728 Pacific Ave, Suite 610, San Francisco, CA 94133-4457 | 2008-10-16 |
| 1609032283 | James K. Yan, D.o., Medical Office Inc. | Internal Medicine | 728 Pacific Ave, Suite 305, San Francisco, CA 94133-4457 | 2008-08-02 |
| 1134240161 | Lorraine C Poon | Dentist | 728 Pacific Ave, Suite 404, San Francisco, CA 94133-4449 | 2007-04-03 |
| 1811014558 | Danny S Lee | Dentist | 728 Pacific Ave, Suite 610, San Francisco, CA 94133-4457 | 2007-03-26 |
| 1760507388 | Lee Dental Corporation | Dentist | 728 Pacific Ave, Suite 610, San Francisco, CA 94133 | 2007-03-20 |
| 1437290780 | Chinatown Physical Therapy & Rehabilitation | Physical Therapist | 728 Pacific Ave, Ste 301, San Francisco, CA 94133-4457 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073176558 | Stephanie Quach | Pharmacist | 845 Jackson Street (pharmacy), San Francisco, CA 94133 | 2019-04-19 |
| 1235474610 | Discover Health Medical Partners Inc | Naturopath | 990 Columbus Avenue, San Francisco, CA 94133 | 2012-12-11 |
| 1891092490 | Qiang Zhu | Acupuncturist | 367 Bay Street, San Francisco, CA 94133 | 2011-02-16 |
| 1619284676 | Kathy Mei | Nurse Practitioner | 835 Jackson St Mob, #329, San Francisco, CA 94133 | 2010-09-10 |
| 1346467040 | Rebecca Helen Wakefield | Physical Therapist | 2140 Taylor St, Apt 905, San Francisco, CA 94133 | 2007-04-20 |
| 1598897191 | Ross William Graham | Chiropractor | 802 Montgomery St, San Francisco, CA 94133 | 2007-03-09 |
| 1265573620 | Julie K. Tse | Nurse Practitioner | 1490 Mason Street, Chinatown Public Health Center, San Francisco, CA 94133 | 2007-02-09 |
| 1285786301 | Cornelia Byrne Hoppe | Marriage & Family Therapist | 1632 Taylor St #6, San Francisco, CA 94133 | 2007-01-17 |
| 1205904281 | Shantala Umashankar | Psychiatry & Neurology | 939 Jackson Street, Apartment 201, San Francisco, CA 94133 | 2006-11-30 |
| 1467521070 | Josephine Mak | Family Medicine | 818 Jackson Street, Suite 301, San Francisco, CA 94133 | 2006-11-07 |
| Find all providers in zip 94133 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1427672559 | Grace Ellen Banks | Physician Assistant | 1199 Bush St Ste 620, San Francisco, CA 94109-5977 | 2020-06-04 |
| 1386270403 | Marcella Santos | Physician Assistant | 67 Skyview Way, San Francisco, CA 94131-1248 | 2020-03-20 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1841844040 | Isheen Dizon Dantes Herrera | Physician Assistant | 2238 Geary Blvd Fl 2se, San Francisco, CA 94115-3416 | 2019-07-26 |
| 1396306148 | Jillian Kelter | Physician Assistant | 956 Sacramento St, San Francisco, CA 94108-2054 | 2019-06-24 |
| 1689134801 | Nicola Jane Shea | Physician Assistant | 1500 Owens St Fl 2, San Francisco, CA 94158-2338 | 2019-03-22 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1427536754 | Krystal Shin | Physician Assistant | 2100 Webster St Ste 305, San Francisco, CA 94115-2376 | 2018-07-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94133 |
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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.