DR. KINCHEON BRYAN LI MD
NPI 1154095990
Pediatrics - Pediatric Hematology-Oncology in San Diego, CA

Q: What is Kincheon Li's NPI number?

The NPI number for Kincheon Li is 1154095990. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Kincheon Li's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Kincheon Li was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since August 05, 2021PECOS Enrolled

3010 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-5811 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Aug 5, 2021 (2 updates tracked since 2021).

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About Dr. Kincheon Bryan Li Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KINCHEON BRYAN LI MD (NPI 1154095990) is an individual pediatric hematology-oncology provider in San Diego, California, licensed in California (C198954) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154095990

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. KINCHEON BRYAN LICredential: MD

Location Address3010 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-5811

Sole ProprietorNo

Enumeration DateAugust 5, 2021

Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1154095990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in CA · C198954✔ Licensed in NY · 310446

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

3010 CHILDRENS WAY, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kincheon Bryan Li Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE N. NYMAN MD

Pediatrics (Neonatal-Perinatal Medicine)