Individual provider Active NPI

Lalaine Lim Tiu, M.D.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1225173537
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63191 Issued in CA
Practice address
3069 E Tulare St
Fresno, CA 93721-1434
Phone
(559) 412-8812
Fax
(559) 266-5587
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63191 CA Primary

Addresses

Primary practice location

3069 E Tulare St
Fresno, CA 93721-1434

Mailing address

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

Other practice location 1

1310 M St
Fresno, CA 93721-1808
Phone (559) 264-2700

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
I20140819002820 CA Practitioner - Family Practice 1658504477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3069 E Tulare St
Fresno, CA 93721-1434

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lalaine Tiu, MD Inc CurrentSince May 5, 2014 Accepting new patients
Medmark Treatment Centers - Fresno West, Inc. CurrentSince May 15, 2023 Accepting new patients

Locations

3069 Tulare St
Fresno, CA 93721
Phone (559) 266-5585

1310 M St
Fresno, CA 93721
Phone (559) 264-2700

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1225173537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 E 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 E TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211434",
            "telephone_number": "559-412-8812",
            "fax_number": "559-266-5587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 M St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211808",
            "country_code": "US",
            "telephone_number": "559-264-2700",
            "fax_number": "559-264-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIU",
        "first_name": "LALAINE",
        "middle_name": "LIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.