Individual provider Active NPI

Brian Liyanto

  • Anesthesiology Physician
  • Arcadia, CA
National Provider Identifier
1063867711
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A143981 Issued in CA
Practice address
300 W Huntington Dr
Arcadia, CA 91007-3402
Phone
(626) 574-3540
NPI assigned
May 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A143981 CA Primary

Addresses

Primary practice location

300 W Huntington Dr
Arcadia, CA 91007-3402

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 574-3540

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
I20190830001422 CA Practitioner - Anesthesiology 3678801560 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Descanso Anesthesia GroupGroup PAC ID 5890193908, 15 clinicians

Practice addresses (Care Compare)

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

Hospital & facility affiliations

  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143981CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Descanso Anesthesia Group Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Edward H Lee DO Inc Anesthesiology CurrentSince Apr 22, 2020 Accepting new patients
Usc Care Medical Group, Inc Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Mar 23, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

2051 Marengo St
#C4E100
Los Angeles, CA 90033
Phone (323) 409-7748

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

39 Congress St
Ste 310
Pasadena, CA 91105
Phone (526) 795-0282

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1063867711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "626-574-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-574-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIYANTO",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A143981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.