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JICHANG LI M.D.
NPI 1174715379
Anesthesiology in San Gabriel, CA

Active since August 13, 2007PECOS Enrolled
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776(626) 289-5454 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jichang Li M.d. NPPES

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

JICHANG LI M.D. (NPI 1174715379) is an individual anesthesiology provider in San Gabriel, California, licensed in California (A102566) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174715379
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJICHANG LICredential: M.D.
Location Address438 W LAS TUNAS DRSan Gabriel, CA 91776-1216
Mailing AddressPo Box 5486Orange, CA 92863-5486 · (818) 550-0900 · Fax (818) 550-0909
Phone(626) 289-5454
Sole ProprietorNo
Enumeration DateAugust 13, 2007
Last NPPES UpdateJune 25, 2010
✔ NPI 1174715379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A102566
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
438 W LAS TUNAS DR, San Gabriel, CA 91776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jichang Li M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jichang Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
4.4 mi
Clinic/Center
10953 RAMONA BLVD
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1780877613 (California)
  • 1,939 clinicians in this Medicare group
NPI 1528079233 (626) 579-8302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. AARON I-LUN JENG MD, MPH
Internal Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
IVOR GREEN M.D. A PROFESSIONAL CORPORATION
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
ELAINE TAM
Pharmacist
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
JICHANG LI, M.D., A MEDICAL CORPORATION
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
AARON I JENG MD INC
Internal Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
AVTAR S. KUMAR, M.D., INC
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
DR. RADFORD ROSEBROUGH M.D.
Emergency Medicine
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454
CHENG Y. CHU M.D.
Anesthesiology
438 W LAS TUNAS DR
SAN GABRIEL, CA 91776
Los Angeles County (626) 289-5454

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 Jichang Li's NPI number?

The NPI number for Jichang Li is 1174715379. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Jichang Li located?

Jichang Li practices at 438 W Las Tunas Dr, San Gabriel, CA 91776. The listed phone number is (626) 289-5454.

What is Jichang Li's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jichang Li enrolled in Medicare?

Yes. Jichang Li is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jichang Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jichang Li reassigns Medicare benefits to County Of Los Angeles (El Monte, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jichang Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jichang Li was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.