JOHNSON TIN LI
NPI 1548950306
Dentist in Pomona, CA

Q: What is Johnson Li's NPI number?

The NPI number for Johnson Li is 1548950306. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Johnson Li's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Johnson Li was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 15, 2023PECOS Enrolled

701 E 2ND ST, POMONA, CA 91766(909) 706-3910 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Johnson Tin Li NPPES

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

JOHNSON TIN LI (NPI 1548950306) is an individual dentist in Pomona, California, licensed in California (111140) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548950306

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJOHNSON TIN LI

Location Address701 E 2ND STPomona, CA 91766-2007

Mailing Address701 E 2nd StPomona, CA 91766-2007 · (909) 706-3910

Phone(909) 706-3910

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1548950306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 111140

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

701 E 2ND ST, Pomona, CA 91766

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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)

Johnson Tin Li 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 3

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

DANIEL LUY

Dentist

701 E 2ND ST
POMONA, CA 91766

Los Angeles County (909) 623-6116

DR. JACQUELINE GOMEZ OD

Optometrist

701 E 2ND ST
POMONA, CA 91766

Los Angeles County (000) 000-0000

DR. ALICE HAE YOUNG YOO D.D.S

Dentist (General Practice)

701 E 2ND ST
POMONA, CA 91766

Los Angeles County (909) 623-6116

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 Johnson Li's NPI number?

The NPI number for Johnson Li is 1548950306. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Johnson Li located?

Johnson Li practices at 701 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 706-3910.

What is Johnson Li's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Johnson Li enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Johnson Li was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.