XIAODONG LI M.D. &PH.D.
NPI 1265799530
Pathology - Anatomic Pathology & Clinical Pathology in South Pasadena, CA

Q: What is Xiaodong Li's NPI number?

The NPI number for Xiaodong Li is 1265799530. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is Xiaodong Li's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Xiaodong Li was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment

314 MONTEREY RD UNIT 14, SOUTH PASADENA, CA 91030(858) 461-0091 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 7, 2022, Jul 19, 2018 (2 updates tracked since 2018).

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About Xiaodong Li M.d. &ph.d. NPPES

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

XIAODONG LI M.D. &PH.D. (NPI 1265799530) is an individual anatomic pathology & clinical pathology provider in South Pasadena, California, licensed in California (134409) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1265799530

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameXIAODONG LICredential: M.D. &PH.D.

Location Address314 MONTEREY RD UNIT 14South Pasadena, CA 91030

Mailing Address314 Monterey Rd Unit 14South Pasadena, CA 91030-3589 · (858) 252-5177

Phone(858) 461-0091

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateApril 11, 2012

Last NPPES UpdateJune 7, 20222 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1265799530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CA · 134409

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

314 MONTEREY RD UNIT 14, South Pasadena, CA 91030

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Xiaodong Li M.d. &ph.d. 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.

PECOS PAC ID2062782402

PECOS Enrollment IDI20180710003093

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Xiaodong Li's NPI number?

The NPI number for Xiaodong Li is 1265799530. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Xiaodong Li located?

Xiaodong Li practices at 314 Monterey Rd Unit 14, South Pasadena, CA 91030. The listed phone number is (858) 461-0091.

What is Xiaodong Li's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Xiaodong Li enrolled in Medicare?

Yes. Xiaodong 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.

When was this NPI record last updated?

The NPPES record for Xiaodong Li was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.