Individual provider Active NPI

Liwanag Asuncion, M.D.

  • Internal Medicine Physician
  • Ontario, CA
National Provider Identifier
1437122082
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35034771 Issued in OH
Practice address
606 E Bermuda Dunes St
Ontario, CA 91761-6717
Phone
(440) 225-7095
Fax
(909) 295-9100
NPI assigned
Feb 13, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35034771 OH Primary
Internal Medicine Physician 207R00000X C158496 CA

Addresses

Primary practice location

606 E Bermuda Dunes St
Ontario, CA 91761-6717

Mailing address

606 E Bermuda Dunes St
Ontario, CA 91761-6717
Phone (440) 225-7095

Other identifiers 6

IdentifierTypeStateIssuer
350188OtherWELLCARE OF OH
0204817MedicaidOH
000000129195OtherANTHEM
E85296OtherSUMMA
3025372MedicaidOH
350189OtherWELLCARE OF OH

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
I20200721001190 CA Practitioner - Internal Medicine 6305804576 Practice locations: Ontario, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C158496CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1437122082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E BERMUDA DUNES ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616717",
            "telephone_number": "440-225-7095",
            "fax_number": "440-988-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E BERMUDA DUNES ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616717",
            "telephone_number": "440-225-7095",
            "fax_number": "909-295-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUNCION",
        "first_name": "LIWANAG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35034771",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C158496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF OH",
            "identifier": "350188",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204817",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000129195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "E85296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF OH",
            "identifier": "350189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.