Individual provider Active NPI

Leewen Liu, M.D.

  • Specialist
  • Saratoga, CA
National Provider Identifier
1114098415
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G080609 Issued in CA
Practice address
19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601
Phone
(408) 973-8861
Fax
(408) 973-8858
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G080609 CA Primary

Addresses

Primary practice location

19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601

Mailing address

19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601
Phone (408) 973-8861

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
I20040521000644 CA Practitioner - Internal Medicine 8224938543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601
Phone (408) 973-8861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G080609CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leewen Liu.MD. Inc. CurrentSince Feb 23, 2004 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

19040 Cox Ave
Ste 1
Saratoga, CA 95070
Phone (408) 793-8861

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114098415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19040 COX AVE",
            "address_2": "SUITE 1",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706601",
            "telephone_number": "408-973-8861",
            "fax_number": "408-973-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 COX AVE",
            "address_2": "SUITE 1",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706601",
            "telephone_number": "408-973-8861",
            "fax_number": "408-973-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "LEEWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G080609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.