Justin Liu MD Professional Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A76636 Issued in CA

Legal business name

JUSTIN LIU MD PROFESSIONAL MEDICAL CORPORATION

Practice address

John Muir Hospital-Dept of Physical Med/ Rehab
1601 Ygnacio Valley Road
Walnut Creek, CA 94598

Phone

(925) 820-4230

Fax

(925) 820-7996

NPI assigned

Apr 10, 2009

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin C Liu, M.D.NPI 1932102332

Title

President

Phone

(925) 820-4230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Liu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Gatos, CA
  • NPI 1932102332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1326281064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 YGNACIO VALLEY RD # 418",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-820-4230",
            "fax_number": "925-820-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN MUIR HOSPITAL-DEPT OF PHYSICAL MED/ REHAB",
            "address_2": "1601 YGNACIO VALLEY ROAD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-820-4230",
            "fax_number": "925-820-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN LIU MD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-820-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A76636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Margarita Jusay
• Julius Jesus Juslin
• Justin Braga DDS Ms Inc
• Corey D Justin, CRNA
• Jvtcm Care, LLC (Harmony Home Care)
• K2 Healthcare Inc.
• K2 Healthcare LLC
• Priscilla Bolger Kaaret, PHYSICAL THERAPIST

• Physical Medicine & Rehabilitation Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.