DR. JACK THOMAS LI D.C.
NPI 1043450653
Chiropractor in Los Angeles, CA
About Dr. Jack Thomas Li D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK THOMAS LI D.C. (NPI 1043450653) is an individual chiropractor in Los Angeles, California, licensed in California (DC 31142) and active in the NPI registry since February 2009. He is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jack Thomas Li D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST LOS ANGELES, CA 90025
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Li's NPI number?
The NPI number for Jack Li is 1043450653. It was assigned to this individual provider in the NPPES registry on February 23, 2009.
Where is Jack Li located?
Jack Li practices at 12340 Santa Monica Blvd Suite 130, Los Angeles, CA 90025. The listed phone number is (310) 207-1007.
What is Jack Li's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jack Li enrolled in Medicare?
Yes. Jack Li is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jack Li accept?
Health plans from Providence Health Plan list Jack Li as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jack Li was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jack Thomas Li, D.C. · NPI 1043450653
Chiropractor provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 23, 2009.
## Identity
- **NPI:** 1043450653 (Entity type: Individual)
- **Enumerated:** February 23, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC 31142 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12340 SANTA MONICA BLVD, SUITE 130, Los Angeles, CA 90025-2500
- **Phone:** (310) 207-1007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 23, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1043450653) · Data from the CMS NPPES public registry.