Individual provider Active NPI

Haywon Lieh, MD

  • Anesthesiology Physician
  • Walnut Creek, CA
National Provider Identifier
1013952308
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A47721 Issued in CA
Practice address
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone
(925) 939-3000
Fax
(925) 947-5286
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A47721 CA
Anesthesiology Physician 207L00000X A47721 CA Primary

Addresses

Primary practice location

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Mailing address

PO Box 7793
San Francisco, CA 94120-7793

Other identifiers 1

IdentifierTypeStateIssuer
00A477210MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000935 CA Practitioner - Anesthesiology 4486708898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Francisco School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A47721CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

100 Park Pl
Ste 200
San Ramon, CA 94583
Phone (925) 867-1800

2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320

365 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 929-4600

100 N Wiget Ln
Walnut Creek, CA 94598
Phone (530) 758-2324

100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

Interoperability endpoints

  • Direct secure messaging: hlieh17896@ehr.johnmuirhealth.com

Organizations & group practices 1

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1013952308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-939-3000",
            "fax_number": "925-947-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEH",
        "first_name": "HAYWON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A47721",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A47721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.