Vincent Cam Lieu, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95026848 Issued in CA

Practice address

116 N Marengo Ave Apt a
Alhambra, CA 91801-6712

Phone

(626) 922-2703

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • San Gabriel, CA
  • NPI 1033390273
  Medicare reassignment
• Market Pharmacy LLC

  dba Regions Pharmacy

  • Community/Retail Pharmacy
  • Santa Ana, CA
  • NPI 1194405076
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1245016526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W VALLEY BLVD # 2450",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033338",
            "telephone_number": "626-922-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MARENGO AVE APT A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918016712",
            "telephone_number": "626-922-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "VINCENT",
        "middle_name": "CAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Librando, PT, DPT
• Robert Charles Lickfelt, B.S.
• Beggxis Hernandez Lieberg, D.D.S.
• Magdiel Alexander Liera
• David Ken Wah Lieu, M.D.
• Angela Dong Lii, MD
• Caryn Lim, OTR/L
• Cynthia Lim
• Danielle Lim
• Natasha Alexis Lim, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.