Jimmy Woon Fon Liu, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1067 Issued in AZ

Practice address

5233 E Southern Ave
Mesa, AZ 85206-3625

Phone

(480) 567-5267

NPI assigned

Nov 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wu Shu Acupuncture

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1477981041
  NPD (past) Authorized official

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1225217508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MCDOWELL RD # 107-405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041549",
            "telephone_number": "480-462-1590",
            "fax_number": "602-715-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063625",
            "telephone_number": "480-567-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N Avenue 59",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900424262",
            "country_code": "US",
            "telephone_number": "626-737-1610",
            "fax_number": "626-737-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 E McDowell Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850064458",
            "country_code": "US",
            "telephone_number": "480-462-1590",
            "fax_number": "602-715-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "JIMMY",
        "middle_name": "WOON FON",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "1067",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE BOARD LICENSE",
            "identifier": "LAC-1067",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC12024",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Little, DO
• Jacqueline Little
• Renee M Little, PA
• Lori Littlefield, MS,CCC-SLP
• Imani Nnu Litz
• Stanley Liu, D.D.S.
• Stephanie Liu, M.S. OTR/L
• Zhen Liu, L.AC.
• Liv Well Behavioral
• Liv Well Behavioral

• Acupuncturist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.