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CARRIE JIAXIN LI M.D.
NPI 1952746307
Obstetrics & Gynecology in San Jose, CA

Active since April 29, 2013PECOS Enrolled
2400 SAMARITAN DR STE 105, SAN JOSE, CA 95124(408) 523-3870 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Oct 26, 2020 (2 updates tracked since 2020).

About Carrie Jiaxin Li M.d. NPPES

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

CARRIE JIAXIN LI M.D. (NPI 1952746307) is an individual obstetrics & gynecology provider in San Jose, California, licensed in California (A132819) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952746307
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCARRIE JIAXIN LICredential: M.D.
Location Address2400 SAMARITAN DR STE 105San Jose, CA 95124-3910
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (408) 523-3870
Phone(408) 523-3870
Sole ProprietorNo
Enumeration DateApril 29, 2013
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1952746307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A132819
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2400 SAMARITAN DR STE 105, San Jose, CA 95124
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Jiaxin 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 Carrie Li reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
261 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700

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 95124 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 6

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

EMILY R CHAMBERLIN NP
Nurse Practitioner
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (650) 934-7676
JEYLING CHOU
Obstetrics & Gynecology
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (408) 523-3870
MARJORIE WARNER BHOGAL M.D.
Obstetrics & Gynecology
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (408) 523-3870
KELSEY LYND APRN
Nurse Practitioner (Obstetrics & Gynecology)
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (408) 523-3870
KRISTIE CHANG SUTTON M.D.
Obstetrics & Gynecology
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (408) 523-3870
MARIA A. RODRIGUEZ BALLESTAS M.D.
Obstetrics & Gynecology
2400 SAMARITAN DR STE 105
SAN JOSE, CA 95124
Santa Clara County (408) 523-3870

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 Carrie Li's NPI number?

The NPI number for Carrie Li is 1952746307. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Carrie Li located?

Carrie Li practices at 2400 Samaritan Dr Ste 105, San Jose, CA 95124. The listed phone number is (408) 523-3870.

What is Carrie Li's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carrie Li enrolled in Medicare?

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

Which organization bills Medicare for Carrie Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Li reassigns Medicare benefits to Southern California Permanente Medical Group (Oxnard, 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 Carrie 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 Carrie Li was last updated on December 13, 2021. 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.