Active NPI
Minyu Liao, MENTAL HEALTH WORKER
- Clinical Social Worker
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 135528
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW102748 | CA | MD | Social Worker |
| LCSW135528 | CA | MD | Social Worker |
| 135528 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadiant, LLC | Past | Accepting new patients | |
| Mark David Levine M.D. Professional Corporation | Mental Health | Past | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Past | 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.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
Mental Health
-
- Behavior Analyst
- Oakland, CA
- NPI 1811547052
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.