Individual provider Active NPI

Ni-Jui Liang, M.D.

  • Plastic Surgery Physician
  • Torrance, CA
National Provider Identifier
1457558413
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2014022835 Issued in MO
Practice address
3640 Lomita Blvd Ste 306
Torrance, CA 90505
Phone
(310) 784-0644
Fax
(310) 784-0544
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X KS
Plastic Surgery Physician 208200000X 2014022835 MO Primary

Addresses

Primary practice location

3640 Lomita Blvd Ste 306
Torrance, CA 90505

Mailing address

3640 Lomita Blvd Ste 306
Torrance, CA 90505-3904
Phone (310) 784-0644

Other identifiers 1

IdentifierTypeStateIssuer
2014022835OtherMOLICENSE

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
I20180718002691 CA Practitioner - Plastic and Reconstructive Surgery 3274759816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
South Bay Plastic Surgeons, IncGroup PAC ID 5092804856, 5 clinicians

Practice addresses (Care Compare)

3640 Lomita Blvd
Suite 306
Torrance, CA 90505-3904
Phone (310) 784-0644

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014022835MOMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Plastic Surgeons, Inc. Plastic Surgery CurrentSince Jul 1, 2018 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

3640 Lomita Blvd
Ste 306
Torrance, CA 90505
Phone (310) 373-8595

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1457558413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053904",
            "telephone_number": "310-784-0644",
            "fax_number": "310-784-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-784-0644",
            "fax_number": "310-784-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "NI-JUI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2014022835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2014022835",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.