Individual provider Active NPI

Minyu Liao, MENTAL HEALTH WORKER

  • Clinical Social Worker
  • Vacaville, CA
National Provider Identifier
1003386699
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135528 Issued in CA
Practice address
770 Mason St Ste 120
Vacaville, CA 95688-4648
Phone
(855) 501-1004
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Social Worker 104100000X ASW102748 CA
Clinical Social Worker 1041C0700X 135528 CA Primary
Mental Health Counselor 101YM0800X ASW102748 CA
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X LCSW135528 CA
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

770 Mason St Ste 120
Vacaville, CA 95688-4648

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

9353 Valley Blvd Ste C
Rosemead, CA 91770-1923
Phone (626) 287-2988

Other practice location 2

1635 W Main St
Alhambra, CA 91801-1951
Phone (626) 248-1800

Other practice location 3

4221 Wilshire Blvd Ste 230
Los Angeles, CA 90010-3554
Phone (213) 505-4307

Other practice location 4

1300 Ethan Way Ste 175
Sacramento, CA 95825-2277
Phone (209) 521-4791 ext. 434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260518000498 CA Practitioner - Clinical Social Worker 8325517501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark David Levine MD Professional CorporationGroup PAC ID 0143478305, 165 clinicians

Practice addresses (Care Compare)

770 Mason St
Suite 120
Vacaville, CA 95688-4648
Phone (855) 501-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW102748CAMDSocial Worker
LCSW135528CAMDSocial Worker
135528CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kadiant, LLC Past Accepting new patients
Mark David Levine M.D. Professional Corporation Mental Health PastSince May 4, 2026 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince May 4, 2026 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1003386699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MASON ST STE 120",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884648",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Valley Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701923",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 W Main St",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918011951",
            "country_code": "US",
            "telephone_number": "626-248-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 Wilshire Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103554",
            "country_code": "US",
            "telephone_number": "213-505-4307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Ethan Way Ste 175",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252277",
            "country_code": "US",
            "telephone_number": "209-521-4791 x434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "MINYU",
        "credential": "MENTAL HEALTH WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW102748",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "135528",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW102748",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW135528",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.