Individual provider Active NPI

Shuyan Liu, NP

  • Family Nurse Practitioner
  • Glendora, CA
National Provider Identifier
1427624576
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020651 Issued in CA
Practice address
130 W Route 66 Ste 302
Glendora, CA 91740-6252
Phone
(626) 283-3649
NPI assigned
May 30, 2021
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020651 CA Primary

Addresses

Primary practice location

130 W Route 66 Ste 302
Glendora, CA 91740-6252

Mailing address

130 W Route 66 Ste 302
Glendora, CA 91740-6252
Phone (626) 914-1534

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317000983 CA Practitioner - Nurse Practitioner 3870926371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nilesh N Patel MD IncGroup PAC ID 1355759796, 3 clinicians
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

130 W Route 66
Suite 302
Glendora, CA 91740-6252
Phone (626) 914-1514

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020651CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nilesh N. Patel MD Inc CurrentSince Jan 1, 2023 Accepting new patients
City of Hope Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Goldome Healthcare Inc. PastSince Dec 1, 2022 Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

130 W Route 66
Ste 302
Glendora, CA 91740
Phone (626) 914-1514

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

216 S Citrus St
West Covina, CA 91791
Phone (626) 348-4239

Interoperability endpoints

  • Direct secure messaging: sliu265901@cityofhope.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1622332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1427624576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406252",
            "telephone_number": "626-914-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406252",
            "telephone_number": "626-283-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "SHUYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.