Individual provider Active NPI

Yung Chieh Liu

  • Physical Therapist
  • Culver City, CA
National Provider Identifier
1386345502
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303783 Issued in CA
Practice address
10190 Culver Blvd
Culver City, CA 90232-3152
Phone
(310) 837-9700
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303783 CA Primary

Addresses

Primary practice location

10190 Culver Blvd
Culver City, CA 90232-3152

Mailing address

10190 Culver Blvd
Culver City, CA 90232-3152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230328001571 CA Practitioner - Physical Therapist in Private Practice 3678947926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303783CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optc Westside Inc Physical Therapist CurrentSince Feb 21, 2023 Accepting new patients
Newsport Physical Therapy Physical Therapist Past Accepting new patients
Seal Beach Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

10190 Culver Blvd
Culver City, CA 90232
Phone (310) 837-9700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1386345502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323152",
            "telephone_number": "310-837-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUNG CHIEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.