Lida Bao, N.P.
NPI 1629130372 · Gerontology Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lida Bao, N.P. is a Gerontology Nurse Practitioner provider in Los Angeles, CA (NPI 1629130372).
Provider details
- NPI number
- 1629130372
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 13681 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2007-08-20
Frequently asked questions
- What is Lida Bao's NPI number?
- Lida Bao's National Provider Identifier (NPI) is 1629130372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lida Bao's specialty?
- Lida Bao is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lida Bao located?
- Lida Bao's practice location on file with NPPES is 11301 Wilshire Blvd, Los Angeles, CA 90073-1003.
- What is Lida Bao's phone number?
- The practice phone number listed in the NPPES registry for Lida Bao is (310) 478-3711.
- Does Lida Bao accept Medicare?
- Lida Bao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lida Bao's NPI active?
- Yes — Lida Bao's NPI (1629130372) is active in the NPPES registry as of the last update on 2007-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.