Individual provider Active NPI

Hao Yi Liu, DDS

  • Dentist
  • Montebello, CA
National Provider Identifier
1396153060
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63736 Issued in CA
Practice address
149 N 6TH St
Montebello, CA 90640-5257
Phone
(626) 497-6220
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63736 CA Primary

Addresses

Primary practice location

149 N 6TH St
Montebello, CA 90640-5257

Mailing address

5219 Sereno Dr
Temple City, CA 91780-3044
Phone (626) 497-6220

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151223001338 CA Order and Referring Only - DentistPractitioner - Dentist 2961703590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63736CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Big Dr. Liu Dental Corporation CurrentSince Oct 12, 2025 Accepting new patients

Locations

149 N 6th St
Montebello, CA 90640
Phone (323) 721-5121

Organizations & group practices 1

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": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1396153060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SERENO DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803044",
            "telephone_number": "626-497-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N 6TH ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405257",
            "telephone_number": "626-497-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "HAO YI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.