Chia-Lin Charles Liu,D.O.,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHIA-LIN CHARLES LIU,D.O.,INC

Practice address

2185 Garnet Ave
San Diego, CA 92109-3603

Phone

(858) 270-9270

Fax

(858) 270-7168

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Chia Lin Liu, D.O.

Title

Doctor

Phone

85892709270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHIA-LIN LIU Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Chia-Lin Liu, D.O.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1720088552
  Medicare reassignment NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1497003511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093603",
            "telephone_number": "858-270-9270",
            "fax_number": "858-270-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093603",
            "telephone_number": "858-270-9270",
            "fax_number": "858-270-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIA-LIN CHARLES LIU,D.O.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CHIA",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "85892709270",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "20A6900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIA-LIN LIU",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.