PRIME PAIN MEDICINE INSTITUTE
NPI 1538227897
Anesthesiology - Addiction Medicine in Capitola, CA
About Prime Pain Medicine Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME PAIN MEDICINE INSTITUTE (NPI 1538227897) is a healthcare organization registered as an addiction medicine in Capitola, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Victor Li, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Pain Medicine Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Pain Medicine Institute, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D1094950
Prime Pain Medicine Institute · Capitola, CAFrequently 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 Victor Li MD A Professional Medical's NPI number?
The NPI number for Victor Li MD A Professional Medical is 1538227897. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Prime Pain Medicine Institute.
Where is Victor Li MD A Professional Medical located?
Victor Li MD A Professional Medical is located at 4140 Jade St Suite 102, Capitola, CA 95010. The listed phone number is (831) 464-7246.
What is Victor Li MD A Professional Medical's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.
Is Victor Li MD A Professional Medical enrolled in Medicare?
Yes. Victor Li MD A Professional Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Victor Li MD A Professional Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Victor Li MD A Professional Medical. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Victor Li MD A Professional Medical hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1094950) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Victor Li MD A Professional Medical was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Prime Pain Medicine Institute · NPI 1538227897
Addiction Medicine organization in Capitola, California. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1538227897 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Anesthesiology - Addiction Medicine · taxonomy 207LA0401X
- **Legal business name:** Victor Li Md A Professional Medical
- **Organization subpart:** No
- **Authorized official:** Victor Li, MD
## Practice location
- **Address:** 4140 JADE ST, SUITE 102, Capitola, CA 95010-3956
- **Phone:** (831) 464-7246 · **Fax:** (831) 576-2016
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2023
- **Other identifiers:** Other 00A776170 (CA); Other A77617 (CA); Medicaid 00A776170 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538227897) · Data from the CMS NPPES public registry.