Individual provider Active NPI

Lily Liu, PA-C, MMSC

  • Physician Assistant
  • La Palma, CA
National Provider Identifier
1144728502
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55226 Issued in CA
Practice address
5451 La Palma Ave Ste 25
La Palma, CA 90623-1730
Phone
(714) 670-1340
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55226 CA Primary

Addresses

Primary practice location

5451 La Palma Ave Ste 25
La Palma, CA 90623-1730

Mailing address

5451 La Palma Ave Ste 25
La Palma, CA 90623-1730
Phone (714) 670-1340

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240817000001 CA Practitioner - Physician Assistant 8123566486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis and Osteoporosis Medical Center, IncGroup PAC ID 4789671066, 10 clinicians
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

2063 S Atlantic Blvd
Suite 300
Monterey Park, CA 91754-6366
Phone (323) 796-0170

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

5451 La Palma Ave
Suite 25
La Palma, CA 90623-1730
Phone 7146701340236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA55226CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: telemed2u.lilyliu@160918.advancedmd-direct.com

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": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1144728502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 25",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-670-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 25",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231730",
            "telephone_number": "714-670-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "LILY",
        "credential": "PA-C, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

Verify at the official NPI Registry.