Individual provider Active NPI

Yen-PO Liu, D.P.M.

  • Foot Surgery Podiatrist
  • Monterey Park, CA
National Provider Identifier
1033349113
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4832 Issued in CA
Practice address
420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206
Phone
(626) 375-7558
Fax
(626) 415-6229
NPI assigned
Jul 22, 2009
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E4832 CA Primary

Addresses

Primary practice location

420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206

Mailing address

420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206
Phone (626) 375-7558

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000660 CA Practitioner - Podiatry 0042356552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 N Garfield Ave
Suite 206
Monterey Park, CA 91754-1206
Phone (626) 375-7558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue47
Removal of skin lesions1-10
Removal of nail tissue742
Removal or shaving of skin growth297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4832CAMDFoot Surgery Podiatrist
4832CAMDNeonatal/Pediatric Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yen PO Liu Foot Specialist Inc. Current Accepting new patients
Yen PO Liu Foot Specialist Inc Foot Surgery CurrentSince Aug 1, 2014 Accepting new patients
Green Peace Medical Group PastSince Sep 1, 2011 Accepting new patients
Msji Home Inc Past Accepting new patients
Gin-Horn Daniel Lee D.P.M. Inc PastSince Aug 1, 2014 Accepting new patients
Riyanto Quemena DPM Inc PastSince Mar 1, 2006 Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
First Care Medical Group Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

27 W Main St
Ste G
Alhambra, CA 91801
Phone (626) 289-4379

841 W Valley Blvd
Ste 102
Alhambra, CA 91803
Phone (626) 576-2900

420 N Garfield Ave
Ste 206
Monterey Park, CA 91754
Phone (626) 375-7558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: connie.liu.p5@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: yenpo.liu.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: yenpo.liu.p4@direct.caremorewest.nextgenshare.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1033349113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 206",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-375-7558",
            "fax_number": "626-415-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 206",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-375-7558",
            "fax_number": "626-415-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YEN-PO",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.