Active NPI
David KW Lieu
- Clinical Medical Laboratory
- Alhambra, CA
National Provider Identifier
1104861657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF 315077
- Legal business name
- DAVID KW LIEU
- Practice address
- 320 S Garfield Ave
# 278
Alhambra, CA 91801-3886 - Phone
- (626) 281-7800
- Fax
- (626) 281-7802
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Ken Wah Lieu, M.D.
- Title
- Pathologist
- Phone
- (626) 281-7800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF 315077 | CA | Primary |
Addresses
Primary practice location
320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Mailing address
320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Phone (626) 281-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLF 315077 | Other | CA | LAB ID NUMBER |
| LAB71449F | Medicaid | CA | |
| 05D0671449 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130308000449 | CA | Part B Supplier - Independent Clinical Laboratory | 9032143870 | Practice locations: Alhambra, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0671449 | David Lieu MD Dba Fine Needle | Compliance | Jan 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cytopathology Physician
- Alhambra, CA
- NPI 1912966680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1104861657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S GARFIELD AVE",
"address_2": "# 278",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013886",
"telephone_number": "626-281-7800",
"fax_number": "626-281-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S GARFIELD AVE",
"address_2": "# 278",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013886",
"telephone_number": "626-281-7800",
"fax_number": "626-281-7802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID KW LIEU",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "LIEU",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "KEN WAH",
"authorized_official_title_or_position": "PATHOLOGIST",
"authorized_official_telephone_number": "626-281-7800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF 315077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAB ID NUMBER",
"identifier": "CLF 315077",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB71449F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0671449",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.