Individual provider Active NPI

John Lieu, M.D.

  • Diagnostic Radiology Physician
  • Palo Alto, CA
National Provider Identifier
1366638447
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A88898 Issued in CA
Practice address
300 Pasteur Dr
Department of Radiology
Palo Alto, CA 94305-2200
Phone
(605) 723-7816
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A88898 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Department of Radiology
Palo Alto, CA 94305-2200

Mailing address

300 Pasteur Dr
Department of Radiology
Palo Alto, CA 94305-2200
Phone (605) 723-7816

Other identifiers 1

IdentifierTypeStateIssuer
I13678OtherCAUPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000492 CA Practitioner - Diagnostic Radiology 8820156177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Radiology Associates Medical Group IncGroup PAC ID 1850285735, 69 clinicians
Newport Center Radiology Associates Medical Group IncGroup PAC ID 7810800166, 60 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 645-3534

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 764-4624

19582 Beach Blvd
Suite 160
Huntington Beach, CA 92648-2996
Phone (714) 378-4992

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone (949) 722-7038

360 San Miguel Dr
Suite 105And106
Newport Beach, CA 92660-7853
Phone (949) 365-3534

993 Avenida Pico
Suite 110
San Clemente, CA 92673-3908
Phone (949) 764-5573

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88898CAMDPharmacist
A88898CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Center Radiology Associates Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2009 Accepting new patients
Newport Harbor Radiology Associates Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2009 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 13, 2009 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

471 Old Newport Blvd
Ste 302
Newport Beach, CA 92663
Phone (949) 415-4883

1 Hoag Dr
Bldg 47
Newport Beach, CA 92663
Phone (949) 764-5528

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534

Dept LA 21705
Pasadena, CA 91185

Dept LA 21555
Pasadena, CA 91185
Phone (949) 236-8620

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1366638447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "605-723-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "605-723-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A88898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I13678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.