Fei Fan Liu, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA13731 Issued in CA

Practice address

1569 Fairway Dr Ste 226
Walnut, CA 91789-3418

Phone

(162) 643-3554

NPI assigned

Sep 17, 2021

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 names 1

• Joseph Liu Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1346910510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 FAIRWAY DR STE 226",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893418",
            "telephone_number": "162-643-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 FAIRWAY DR STE 226",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893418",
            "telephone_number": "162-643-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "FEI FAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "LIU",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessie Armanda Linsenbardt
• Jacquelyn Lising, MS, RDN
• Aaron Taylor Liu, DDS
• Chen Yu Liu
• Chin Jung Liu
• Victoria Liu
• Living Well Medical Clinic
• Jacqueline Loera, ASW
• Dolores A. Lopez
• Lisa Lu-Davis, DMD

• Medical Physician Assistant in Walnut, CA
• Providers in Walnut, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.