Organization Active NPI

James H. Liu, M.D., Inc

  • Cardiovascular Disease Physician
  • San Gabriel, CA
National Provider Identifier
1447485206
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G64811 Issued in CA
Legal business name
JAMES H. LIU, M.D., INC
Practice address
1730 S San Gabriel Blvd # C
San Gabriel, CA 91776-3928
Phone
(626) 572-0889
Fax
(626) 280-2789
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. James Hou Liu, M.D.NPI 1518074731
Title
Present
Phone
(626) 572-0889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G64811 CA Primary

Addresses

Primary practice location

1730 S San Gabriel Blvd # C
San Gabriel, CA 91776-3928

Mailing address

1730 S San Gabriel Blvd # C
San Gabriel, CA 91776-3928
Phone (626) 572-0889

Other identifiers 1

IdentifierTypeStateIssuer
000G648111MedicaidCA

Other names 1

  • KINDER HEART Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000264 CA Part B Supplier - Clinic/Group Practice 4385613470 Receives reassigned benefits from 2 practitioners
Practice locations: San Gabriel, CA

National Provider Directory

National Provider Directory

Locations

17901 Pioneer Blvd
Ste I
Artesia, CA 90701
Phone (562) 653-9889

18102 Pioneer Blvd
Ste 203
Artesia, CA 90701
Phone (562) 653-9889

1730 S San Gabriel Blvd
Unit C
San Gabriel, CA 91776

1730 S San Gabriel Blvd
#C
San Gabriel, CA 91776
Phone (626) 572-0889

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1447485206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S SAN GABRIEL BLVD # C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763928",
            "telephone_number": "626-572-0889",
            "fax_number": "626-280-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S SAN GABRIEL BLVD # C",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763928",
            "telephone_number": "626-572-0889",
            "fax_number": "626-280-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. LIU, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HOU",
        "authorized_official_title_or_position": "PRESENT",
        "authorized_official_telephone_number": "626-572-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G64811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G648111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINDER HEART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.