Organization Active NPI

Winson Liu, M.D., Inc.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1467554287
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64329 Issued in CA
Legal business name
WINSON LIU, M.D., INC.
Practice address
3838 Sherman Dr
Suite 10
Riverside, CA 92503-4001
Phone
(951) 688-3849
Fax
(951) 688-8045
NPI assigned
Sep 2, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Winson Liu, M.D.NPI 1861594681
Title
President
Phone
(951) 688-3849

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A64329 CA Primary

Addresses

Primary practice location

3838 Sherman Dr
Suite 10
Riverside, CA 92503-4001

Mailing address

3838 Sherman Dr
Suite 10
Riverside, CA 92503-4001
Phone (951) 688-3849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000593 CA Part B Supplier - Clinic/Group Practice 7214909357 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

3838 Sherman Dr
Ste 10
Riverside, CA 92503
Phone (951) 688-3849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1467554287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR",
            "address_2": "SUITE 10",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-688-3849",
            "fax_number": "951-688-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR",
            "address_2": "SUITE 10",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-688-3849",
            "fax_number": "951-688-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSON LIU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "WINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-688-3849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.