Ting Wen Liu

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24620 Issued in CA

Practice address

250 Edgewood Dr
Fillmore, CA 93015

Phone

(805) 524-4210

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Isabella Liu Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1235966284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24933 WALNUT ST APT 50",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211067",
            "telephone_number": "805-524-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EDGEWOOD DR",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "93015",
            "telephone_number": "805-524-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22800 Lyons Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913212897",
            "country_code": "US",
            "telephone_number": "805-619-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "TING WEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "24620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE & HEARING ASSOCIATION",
            "identifier": "14062036",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY AND HEARING BOARD",
            "identifier": "24620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "LIU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonia Ibarra
• Gabriela Jasso Tapia, LCSW
• Veronica Jimenez
• Jennessy Jade Juarez
• Life Center of America
• Logan Bundy MD
• Rosanna Halcon Lomeli, PPS
• Michael Gerald Lopez
• Nancy Luna, LCSW
• Eliasar Benjamin Macias, PA

• Speech-Language Pathologist in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.