Richard G. Libao, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G55784 Issued in CA

Practice address

15141 Whittier Blvd
Suite 130
Whittier, CA 90603-2135

Phone

(562) 945-2832

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Washington School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Anesthesia Medical AssociatesGroup PAC ID 6507179165, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Pacific Anesthesia Medical Associates

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1295116184
  Medicare reassignment Care Compare group NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• Christine Petti MD, Inc.

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1538259080
  NPD (past)
• Palos Verdes Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1487734695
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1346224540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD",
            "address_2": "SUITE 130",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032135",
            "telephone_number": "562-945-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBAO",
        "first_name": "RICHARD",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G55784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G557842",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ju Tzu Li, LAC
• Lily Li, LAC
• Richard Jay Li, MD
• Yaling Li, R.N
• Kuang Cheng Liao, M.D.
• Lihong Wu MD Inc
• Lili Mirtorabi D.D.S., a Professional Corporation
• Lily Ho, M.D. Inc
• Angela Lim
• Annie Lim, MD

• Anesthesiology Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.

Verify at the official NPI Registry.