1. Home
  2. Directory
  3. California
  4. San Jose
  5. Pediatrics
  6. NPI Profile

DR. EDWIN JANFONG LI M.D.
NPI 1629509716
Pediatrics in San Jose, CA

Active since March 21, 2017PECOS Enrolled
276 INTERNATIONAL CIR FL 1, SAN JOSE, CA 95119(408) 972-7000 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2022, Jun 24, 2021, Mar 21, 2017 (3 updates tracked since 2017).

About Dr. Edwin Janfong Li M.d. NPPES

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

DR. EDWIN JANFONG LI M.D. (NPI 1629509716) is an individual pediatrics provider in San Jose, California, licensed in California (A157034) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629509716
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. EDWIN JANFONG LICredential: M.D.
Location Address276 INTERNATIONAL CIR FL 1San Jose, CA 95119-1130
Mailing Address104 Lake DrSan Bruno, CA 94066-2512
Phone(408) 972-7000
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateJune 21, 20223 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1629509716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A157034
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
276 INTERNATIONAL CIR FL 1, San Jose, CA 95119
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Janfong 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 Edwin Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
13 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 2

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

SPHOORTI D. UMARJEE MD
Pediatrics
276 INTERNATIONAL CIR FL 1
SAN JOSE, CA 95119
Santa Clara County (408) 972-6113
YANG LIU MD
Pediatrics
276 INTERNATIONAL CIR FL 1
SAN JOSE, CA 95119
Santa Clara County (408) 362-4740

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 Edwin Li's NPI number?

The NPI number for Edwin Li is 1629509716. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Edwin Li located?

Edwin Li practices at 276 International Cir Fl 1, San Jose, CA 95119. The listed phone number is (408) 972-7000.

What is Edwin Li's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edwin Li enrolled in Medicare?

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

Which organization bills Medicare for Edwin Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Li reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Edwin 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 Edwin Li was last updated on June 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.