Active NPI
Liwanag Asuncion, M.D.
- Internal Medicine Physician
- Ontario, CA
National Provider Identifier
1437122082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35034771
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350188 | Other | WELLCARE OF OH | |
| 0204817 | Medicaid | OH | |
| 000000129195 | Other | ANTHEM | |
| E85296 | Other | SUMMA | |
| 3025372 | Medicaid | OH | |
| 350189 | Other | WELLCARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C158496 | CA | MD | Internal 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.