Active NPI
Wilson Liu, D.O.
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A16858
- Practice address
- 1711 W Temple St Ste 4691
Los Angeles, CA 90026-7336 - Phone
- (213) 238-5887
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A16858 | CA | Primary |
Addresses
Primary practice location
1711 W Temple St Ste 4691
Los Angeles, CA 90026-7336
Mailing address
1711 W Temple St Ste 4691
Los Angeles, CA 90026-7336
Phone (213) 238-5887
Other practice location 1
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-5161
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900
Hospital & facility affiliations
- Glendale Mem Hospital & HLTH Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16858 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Caremore Pediatric Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Superior Hospitalist Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Sera Ramadan, D.O., Inc | Internal Medicine | Current | Accepting new patients |
| Cedar Springs Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Ca Hospital Hospitalist Medical Group Inc | Current | Accepting new patients | |
| Pih Health Physicians | Internal Medicine | Current | Accepting new patients |
Locations
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
222 W Eulalia St
Ste 201
Glendale, CA 91204
Phone (213) 238-5887
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
1711 W Temple St
Ste 4691
Los Angeles, CA 90026
Phone (213) 238-5887
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Glendale, CA
- NPI 1245799279
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1114483146
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1134743347
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1316582059
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
Internal Medicine
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1326496167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 W TEMPLE ST STE 4691",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900267336",
"telephone_number": "213-238-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W TEMPLE ST STE 4691",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900267336",
"telephone_number": "213-238-5887"
}
],
"practiceLocations": [
{
"address_1": "10800 Knights Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191144200",
"country_code": "US",
"telephone_number": "215-612-5161",
"fax_number": "215-612-4069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "WILSON",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A16858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.