Organization Active NPI

Yen PO Liu Foot Specialist Inc

  • Foot Surgery Podiatrist
  • Monterey Park, CA
National Provider Identifier
1215346358
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4832 Issued in CA
Legal business name
YEN PO LIU FOOT SPECIALIST INC
Practice address
420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206
Phone
(626) 572-8950
Fax
(626) 415-6229
NPI assigned
Aug 2, 2014
Last updated
Mar 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mr. Yen PO Liu, DPMNPI 1033349113
Title
Ceo
Phone
(626) 376-8720

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
Foot Surgery Podiatrist 213ES0131X E4832 CA Primary

Addresses

Primary practice location

420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206

Mailing address

420 N Garfield Ave Ste 206
Monterey Park, CA 91754-1206
Phone (626) 375-7558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140905002195 CA Part B Supplier - Clinic/Group Practice 7315165271 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory
Tax ID family
Yen PO Liu Foot Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 N Garfield Ave
Ste 206
Monterey Park, CA 91754
Phone (626) 375-7558

Practitioners & affiliated clinicians

Practitioners 4

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": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1215346358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 206",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-375-7558",
            "fax_number": "626-415-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 206",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-572-8950",
            "fax_number": "626-415-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN PO LIU FOOT SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YEN PO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-376-8720",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.