Active NPI
Carole Su-Yen Liu, N.P.
- Acute Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1508111725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP21174
- Practice address
- 1701 E Cesar E Chavez Ave Ste 125
Los Angeles, CA 90033-2445 - Phone
- (323) 224-2100
- Fax
- (323) 224-2106
- NPI assigned
- Jul 14, 2012
- Last updated
- Jul 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP21174 | CA | Primary |
Addresses
Primary practice location
1701 E Cesar E Chavez Ave Ste 125
Los Angeles, CA 90033-2445
Mailing address
1701 E Cesar E Chavez Ave Ste 125
Los Angeles, CA 90033-2445
Phone (323) 224-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP21174 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342224000000",
"number": "1508111725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E CESAR E CHAVEZ AVE STE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332445",
"telephone_number": "323-224-2100",
"fax_number": "323-224-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E CESAR E CHAVEZ AVE STE 125",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332445",
"telephone_number": "323-224-2100",
"fax_number": "323-224-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "CAROLE",
"middle_name": "SU-YEN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2012-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP21174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.