Kevin Edward Liu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

59605 Issued in CA

Practice address

10441 Lakewood Blvd Ste E
Downey, CA 90241-2744

Phone

(626) 518-2143

NPI assigned

Jun 3, 2021

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

Physician Assistant

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.

• Ajay G. Meka M.D. Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1932214657
  Medicare reassignment
• Amistad Multi Specialty Medical Group Inc.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1912556721
  NPD (past)
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Tehachapi, CA
  • NPI 1851325021
  NPD (past)
• Parkview Orthopaedic Group S C

  • Specialist
  • Palos Heights, IL
  • NPI 1154350353
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1275109787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 ASHBOURNE PL",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917485181",
            "telephone_number": "626-518-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 LAKEWOOD BLVD STE E",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412744",
            "telephone_number": "626-518-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KEVIN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Liu
• Grace Namjung Liu, MD
• Janie Liu, D.O.
• Jeremie Anne Quilala Liu, FNP-BC
• Katherine Liu
• Michelle Liu
• Samuel S Liu, MD
• Ziwei Liu
• Mark Jordan Livingston, PHARM.D.
• Higinio N Llamas

• Physician Assistant in Downey, CA
• Providers in Downey, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.