EDMUND LI PA
NPI 1790137057
Physician Assistant in San Francisco, CA

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
728 PACIFIC AVE, SUITE 505, SAN FRANCISCO, CA 94133(415) 956-8321 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2017, Jul 11, 2016 (2 updates tracked since 2016).

About Edmund Li Pa NPPES

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

EDMUND LI PA (NPI 1790137057) is an individual physician assistant in San Francisco, California, licensed in California (PA53566) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790137057
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDMUND LICredential: PA
Location Address728 PACIFIC AVE, SUITE 505San Francisco, CA 94133-4457
Mailing Address2670 S White Rd, Ste 200San Jose, CA 95148-2073 · (408) 729-4290
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 11, 2016
Last NPPES UpdateMarch 16, 20172 updates tracked since enumeration
NPI 1790137057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA53566
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

728 PACIFIC AVE, San Francisco, CA 94133

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

Edmund Li Pa 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 ID2668757733
PECOS Enrollment IDI20170403000843
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94133 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Physical Therapist
728 PACIFIC AVE, STE 301
SAN FRANCISCO, CA 94133
Internal Medicine
728 PACIFIC AVE, SUITE 402
SAN FRANCISCO, CA 94133
Obstetrics & Gynecology
728 PACIFIC AVE, # 503
SAN FRANCISCO, CA 94133
Internal Medicine (Cardiovascular Disease)
728 PACIFIC AVE, SUITE 501
SAN FRANCISCO, CA 94133
Specialist
728 PACIFIC AVE, SUITE 608
SAN FRANCISCO, CA 94133
Podiatrist
728 PACIFIC AVE, SUITE 606
SAN FRANCISCO, CA 94133
Family Medicine
728 PACIFIC AVE, SUITE 507
SAN FRANCISCO, CA 94133
Acupuncturist
728 PACIFIC AVE, SUITE 606
SAN FRANCISCO, CA 94133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790137057, enumerated as an "individual" on July 11, 2016.

The provider is located at 728 PACIFIC AVE SUITE 505 SAN FRANCISCO, CA 94133 and the phone number is (415) 956-8321.

Physician Assistant with taxonomy code 363A00000X.