SAMUEL LI MD
NPI 1386752475
Anesthesiology in Manteca, CA

Q: What is Samuel Li's NPI number?

The NPI number for Samuel Li is 1386752475. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Samuel Li's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Li was last updated on January 21, 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 August 28, 2006PECOS EnrolledAccepts Medicare Assignment

1205 E NORTH ST, MANTECA, CA 95336(209) 823-3111 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Li Md NPPES

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

SAMUEL LI MD (NPI 1386752475) is an individual anesthesiology provider in Manteca, California, licensed in California (G81427) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1386752475

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameSAMUEL LICredential: MD

Location Address1205 E NORTH STManteca, CA 95336-4932

Mailing Address10693 Wiles Rd Pmb 137Coral Springs, FL 33076-2014 · (954) 255-5200 · Fax (954) 255-2084

Phone(209) 823-3111

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1993

Enumeration DateAugust 28, 2006

Last NPPES UpdateJanuary 21, 2022

NPPES CertifiedJanuary 21, 2022

✔ NPI 1386752475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · G81427

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.

1205 E NORTH ST, Manteca, CA 95336

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Other Identifiers 1

Medicaid00G814270CA

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

Samuel Li Md 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 ID1658391677

PECOS Enrollment IDI20051205000793

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.

TAMMIE NGOC TU NGUYEN PHARM.D.

Pharmacist