Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Xiaodong Li, MDPHD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1265799530

Xiaodong Li, MDPHD is a Pathology in South Pasadena, California. Qualified in 1997, 29 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2012

Practice location Address checks out

314 Monterey Rd Unit 14
South Pasadena, CA 91030
Phone: (858) 461-0091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 134409 (CA)

Record details

NPI number1265799530
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorYes
NPI enumeratedApril 11, 2012
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address314 Monterey Rd Unit 14, South Pasadena, CA 91030-3589

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount