Organization Active NPI

Paul TC Liu MD, Inc

  • Specialist
  • Alhambra, CA
National Provider Identifier
1295934792
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G67740 Issued in CA
Legal business name
PAUL TC LIU MD, INC
Practice address
1658 W Valley Blvd Ste 120
Alhambra, CA 91803-2370
Phone
(626) 282-0282
Fax
(626) 282-0939
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Paul TC Liu, MDNPI 1730195686
Title
Doctor
Phone
(626) 796-0821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G67740 CA Primary

Addresses

Primary practice location

1658 W Valley Blvd Ste 120
Alhambra, CA 91803-2370

Mailing address

1658 W Valley Blvd Ste 120
Alhambra, CA 91803-2370
Phone (626) 282-0282

Other identifiers 1

IdentifierTypeStateIssuer
00G677400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216001002 CA Part B Supplier - Clinic/Group Practice 0547212623 Receives reassigned benefits from 1 practitioner
Practice locations: San Marino, CA

National Provider Directory

National Provider Directory

Locations

2233 Huntington Dr
Ste 10
San Marino, CA 91108
Phone (626) 584-0026

2233 Huntington Dr
Ste 12
San Marino, CA 91108
Phone (626) 405-8808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1295934792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 W VALLEY BLVD STE 120",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032370",
            "telephone_number": "626-282-0282",
            "fax_number": "626-282-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 W VALLEY BLVD STE 120",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032370",
            "telephone_number": "626-282-0282",
            "fax_number": "626-282-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL TC LIU MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "TC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-796-0821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G67740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G677400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.