Active NPI
Lian Liu, MPH, RD, CDE
- Registered Dietitian
- Ontario, CA
National Provider Identifier
1063833481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86001643
- Practice address
- 2295 S Vineyard Ave
Ontario, CA 91761-7925 - Phone
- (909) 724-5000
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86001643 | CA | Primary |
Addresses
Primary practice location
2295 S Vineyard Ave
Ontario, CA 91761-7925
Mailing address
2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808001569 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 4789182841 | Practice locations: Ontario, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86001643 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1063833481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 S VINEYARD AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617925",
"telephone_number": "909-724-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 S VINEYARD AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617925",
"telephone_number": "909-724-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "LIAN",
"credential": "MPH, RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86001643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.