MEDICARE: XIAOLING LI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	63174	CA
2	363AS0400X	Surgical Physician Assistant	C0004719	MD

General Provider Information

NPI Number	:	1598012908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOLING LI

Provider Business Mailing Address
First Line	:	1111 EXPOSITION BLVD BLDG 700
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4314
Country	:	US
Telephone Number	:	916-736-3399
Fax Number	:	916-736-3350

Provider Business Practice Location Address
First Line	:	1561 CREEKSIDE DR STE 180
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-3495
Country	:	US
Telephone Number	:	916-984-8830
Fax Number	:	916-984-8834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2012
Last Update Date	:	03/15/2024

Similar Medicare Providers

1598768277 — DR. DONALD J CLUTTER MD
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1407809304 — DR. HEMANT S KUDRIMOTI MD PHD
Practice Location Address:

1561 CREEKSIDE DR STE 170
FOLSOM, CA
95630-3495

Practice Phone: 916-351-4825
Practice Fax: 916-984-2055

1972625770 — KIMBERLY KNUDSEN
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1982955183 — DANIEL J COOPER
Practice Location Address:

1561 CREEKSIDE DR STE 150
FOLSOM, CA
95630-3495

Practice Phone: 916-983-2193
Practice Fax:

1972063378 — DR. SIMONE ALEXANDRA BARKER MD
Practice Location Address:

1561 CREEKSIDE DR STE 180
FOLSOM, CA
95630-3495

Practice Phone: 916-984-8830
Practice Fax: 916-984-8834

1770427742 — FAITH RAYLYNNE GNAGY
Practice Location Address:

1825 PRAIRIE CITY RD
FOLSOM, CA
95630-9578

Practice Phone: 916-693-6351
Practice Fax:

Directions to “ XIAOLING LI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.