Organization Active NPI

Lalaine Tiu, MD Inc

  • Clinic/Center
  • Fresno, CA
National Provider Identifier
1184048886
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A063191 Issued in CA
Legal business name
LALAINE TIU, MD INC
Practice address
3069 Tulare St
Fresno, CA 93721-1434
Phone
(559) 412-8812
Fax
(559) 266-5587
NPI assigned
Feb 17, 2014
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Lalaine Lim Tiu, MDNPI 1225173537
Title
President
Phone
(559) 412-8812

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A063191 CA Primary

Addresses

Primary practice location

3069 Tulare St
Fresno, CA 93721-1434

Mailing address

3069 Tulare St
Fresno, CA 93721-1434
Phone (559) 412-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819000915 CA Part B Supplier - Clinic/Group Practice 4688891443 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2080077Lalaine Tiu MD Inc3069 Tulare St, Fresno, CA 93721Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1184048886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211434",
            "telephone_number": "559-412-8812",
            "fax_number": "559-266-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211434",
            "telephone_number": "559-412-8812",
            "fax_number": "559-266-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALAINE TIU, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "LALAINE",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-412-8812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A063191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.

Verify at the official NPI Registry.