DR. JOHNNY T LI (NPI# 1124004965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124004965 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY T LI |
| Credential | M.D. |
| Practice Address |
7345 Medical Center Dr Suite #280 West Hills CA 91307-1937 |
| Practice Telephone | 8188882855 |
| Practice Fax Number | 8188880702 |
| Mailing Telephone | 8188882855 |
| Mailing Fax Number | 8188880702 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A025311 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE SUPPLIER # | Y5394 | 01 |
| CA | CA MEDICAL LICENSE | A025311 | 01 |
| CA | 00A253110 | 05 | |
| CA | CORPORATE TAX ID | 953718732 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891227211 | Johnny Xiang Li | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016 | 2017-04-03 |
| Street Address |
7345 MEDICAL CENTER DR SUITE #280 |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91307-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273820 | Charles H Udolph | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2005-08-24 |
| 1598013427 | Judith S. Pabst, Dds, Inc. and Phaedra Deukmedjian, Dds, Inc. | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2012-08-27 |
| 1285925719 | Shervin Aminpour Md PC | Otolaryngology | 7345 Medical Center Dr, 540, West Hills, CA 91307-1910 | 2011-05-02 |
| 1942590542 | Soodeh Nili | Internal Medicine | 7345 Medical Center Dr, Suite 600, West Hills, CA 91307-1910 | 2011-04-15 |
| 1023310133 | Marshall M. Graditor, M.d. Inc | Specialist | 7345 Medical Center Dr, Suite # 320, West Hills, CA 91307-1910 | 2010-11-22 |
| 1427283340 | Meir David Hershcovitch | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2009-05-21 |
| 1144494261 | Jerome Dickman, M.d., Inc | Clinic/Center | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-04-18 |
| 1790960888 | Bob B. Armin | Otolaryngology | 7345 Medical Center Dr, Suite 510, West Hills, CA 91307-1910 | 2008-01-08 |
| 1790975597 | Shukan C Kanuga | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1910 | 2007-07-27 |
| 1821214784 | Phaedra Deukmedjian | Dentist | 7345 Medical Center Dr, Suite 330, West Hills, CA 91307-1963 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1447785035 | Natalie Rubinstein | Speech-Language Pathologist | 6708 Faust Ave, West Hills, CA 91307 | 2017-04-20 |
| 1649721473 | Shouridge Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6705 Shoup Avenue, West Hills, CA 91307 | 2016-10-17 |
| 1497206205 | Victory Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 22455 Victory Blvd, West Hills, CA 91307 | 2016-10-17 |
| 1881141406 | Shoup Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 6450 Shoup Avenue, Woodland Hills, CA 91307 | 2016-09-01 |
| 1407216047 | Shahriar Rezania | Pharmacist | 7300 Medical Center Drive, West Hills, CA 91307 | 2016-02-24 |
| 1780057570 | Renee J Schuster-weiss | Marriage & Family Therapist | 6909 Minstrel Ave, West Hills, CA 91307 | 2015-11-03 |
| 1548649791 | Rozita Amirian | Pharmacist | 7230 Medical Center Dr Ste 106, West Hills, CA 91307 | 2015-05-20 |
| 1629462643 | Lorna David | Occupational Therapist | 7045 Sale Avenue, West Hills, CA 91307 | 2015-03-27 |
| Find all providers in zip 91307 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992165914 | Arc Orthopedic Group | Orthopaedic Surgery | 7230 Medical Center Dr, Suite 604, West Hills, CA 91307-1907 | 2016-03-03 |
| 1518378124 | Franco Russo | Orthopaedic Surgery | 7301 Medical Center Dr Ste 400, West Hills, CA 91307-1988 | 2014-05-16 |
| 1336374958 | Purab Chawla Viswanath | Orthopaedic Surgery | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2009-05-27 |
| 1518143791 | David L. Feingold, M.d., Inc. | Orthopaedic Surgery | 23101 Sherman Pl, Suite 210, West Hills, CA 91307-2003 | 2008-01-17 |
| 1871534818 | Robert Fields Md & Evan J Bachner Md | Orthopaedic Surgery | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2006-06-09 |
| 1407822935 | Kevin Alan Nadel | Orthopaedic Surgery | 7301 Medical Center Dr, West Hills, CA 91307-1904 | 2006-02-24 |
| 1841278447 | Bernard M Diamond Md Inc | Orthopaedic Surgery | 23101 Sherman Pl, Ste 210, West Hills, CA 91307-2003 | 2006-01-04 |
| 1013994896 | Michael Lee | Orthopaedic Surgery | 7345 Medical Center Dr, Suite #280, West Hills, CA 91307-1937 | 2005-12-22 |
| 1154315000 | Bernard Michael Diamond | Orthopaedic Surgery | 23101 Sherman Pl, Sutie 210, West Hills, CA 91307-2003 | 2005-09-07 |
| 1568468528 | Umesh T Bhagia | Orthopaedic Surgery | 7301 Medical Center Dr, Suite 400, West Hills, CA 91307-1904 | 2005-06-24 |
| Find all providers in WEST HILLS | ||||
| City | WEST HILLS |
| Zip Code | 91307 |
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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.