Individual provider Active NPI

Yi-Tien Liu, NP

  • Adult Health Nurse Practitioner
  • San Gabriel, CA
National Provider Identifier
1013207364
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP20598 Issued in CA
Practice address
506 W Valley Blvd Ste 100
San Gabriel, CA 91776-3731
Phone
(626) 308-3800
Fax
(626) 308-1899
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP20598 CA Primary

Addresses

Primary practice location

506 W Valley Blvd Ste 100
San Gabriel, CA 91776-3731

Mailing address

506 W Valley Blvd Ste 100
San Gabriel, CA 91776-3731
Phone (626) 308-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP20598CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Heart Centers a Medical Corporation CurrentSince Oct 7, 2015 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 14, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 14, 2022 Accepting new patients

Locations

506 W Valley Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

Interoperability endpoints

  • Direct secure messaging: yi-tien.liu@697388111167492.direct.elationemr.com

Organizations & group practices 4

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1013207364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763731",
            "telephone_number": "626-308-3800",
            "fax_number": "626-308-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763731",
            "telephone_number": "626-308-3800",
            "fax_number": "626-308-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YI-TIEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP20598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.