Annie Liu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58241 Issued in CA

Practice address

20470 Via Infanta
Yorba Linda, CA 92887-3232

Phone

(714) 386-0237

NPI assigned

Nov 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aliu619577@direct.llu.edu

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.

• Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Yorba Linda, CA
  • NPI 1497702724
  Medicare reassignment
• Careathome Medical Practice Ca PC

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1306516174
  NPD (past)

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396380796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20470 VIA INFANTA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 VIA INFANTA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873232",
            "telephone_number": "714-386-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "ANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian W Lin, MD
• Yenling Vickie Lin, D.M.D
• Scott Lindner, D.C.
• Roy Alan Lipshin, L.C.S.W.
• Yisho Liu-Kim, D.D.S.
• Lian Ying Liu, CMT OF CA, NATIONAL
• Myisha Michelle Liu
• Lois V Nightingale, PH.D. a Psychological Corporation
• Longs Drug Stores California LLC (CVS Pharmacy #09905)
• Christine M Loo, P.T.

• Physician Assistant in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.