JIEMIN J LI MD
NPI 1780212449
Ophthalmology in Los Angeles, CA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
1450 SAN PABLO ST, LOS ANGELES, CA 90033(323) 442-6335 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2024, Apr 22, 2024, Jul 6, 2021 and 2 more (5 updates tracked since 2020).

About Jiemin J Li Md NPPES

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

JIEMIN J LI MD (NPI 1780212449) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A195196) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780212449
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJIEMIN J LICredential: MD
Location Address1450 SAN PABLO STLos Angeles, CA 90033-5331
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (626) 457-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateAugust 20, 20245 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1780212449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A195196
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1450 SAN PABLO ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jiemin J 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 ID2163845918
PECOS Enrollment IDI20240506004259
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 Reassignments

3

Medicare enrollment records show Jiemin Li reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Ophthalmology
4560 E CESAR E CHAVEZ AVE
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Health Maintenance Organization
2626 COLORADO BLVD
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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 90033 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
$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 20

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

Student in an Organized Health Care Education/Training Program
1450 SAN PABLO ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1450 SAN PABLO ST
LOS ANGELES, CA 90033
Surgery (Surgical Oncology)
1450 SAN PABLO ST, SUITE 6200
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, AUITE 4000
LOS ANGELES, CA 90033
Ophthalmology
1450 SAN PABLO ST, SUITE #4000
LOS ANGELES, CA 90033
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1450 SAN PABLO ST
LOS ANGELES, CA 90033

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 Jiemin Li's NPI number?

The NPI number for Jiemin Li is 1780212449. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Jiemin Li located?

Jiemin Li practices at 1450 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 442-6335.

What is Jiemin Li's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jiemin Li enrolled in Medicare?

Yes. Jiemin 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.

Which organizations bill Medicare for Jiemin Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jiemin Li reassigns Medicare benefits to 3 organizations: Usc Care Medical Group, Inc (Los Angeles, CA), Paul T Urrea M D M P H Inc (Los Angeles, CA) and Southern California Permanente Medical Group (Los Angeles, CA). Each 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 Jiemin 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 Jiemin Li was last updated on August 20, 2024. 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.