NPIMap

Individual provider Active NPI

Antonio K. Liu, M.D.

  • Neurological Surgery Physician
  • Alhambra, CA
National Provider Identifier
1518980663
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A062246 Issued in CA
Practice address
150 S Raymond Ave
Alhambra, CA 91801-3166
Phone
(626) 300-0008
Fax
(626) 300-0191
NPI assigned
Jul 26, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A062246 CA Primary
Neurology Physician 2084N0400X 30171 MS
Neurology Physician 2084N0400X T8882 TX
Neurology Physician 2084N0400X 2022038336 MO
Neurology Physician 2084N0400X ME159509 FL
Neurology Physician 2084N0400X 66692 TN
Neurology Physician 2084N0400X THMD00033 AZ

Addresses

Primary practice location

150 S Raymond Ave
Alhambra, CA 91801-3166

Mailing address

150 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 300-0008

Other identifiers 4

IdentifierTypeStateIssuer
162215MedicaidAZ
00A622460MedicaidCA
Q080045MedicaidTN
000071004MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, AZ, WV, TN5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040216001032 CA Practitioner - Neurology 9436043163 Reassigns benefits to 1 organization
I20220628000130 FL Practitioner - Neurology 9436043163 Reassigns benefits to 1 organization
I20220714000904 AZ Practitioner - Neurology 9436043163 Reassigns benefits to 1 organization
I20220913001001 WV Practitioner - Neurology 9436043163 Reassigns benefits to 1 organization
I20221208003048 TN Practitioner - Neurology 9436043163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Memorial Medical Group IncGroup PAC ID 9436042967, 12 clinicians

Practice addresses (Care Compare)

1701 E Cesar E Chavez Ave
Los Angeles, CA 90033-2488
Phone (323) 987-1362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062246CAMDNeurological Surgery Physician
ME159509FLMDNeurology Physician
30171MSMDNeurology Physician
66692TNMDNeurology Physician
T8882TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Liu MD Apc Neurology CurrentSince Nov 12, 2024 Accepting new patients
Nuview Health Arkansas PLLC Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
White Memorial Medical Group, Inc. PastSince Jul 19, 1999 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1518980663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-300-0008",
            "fax_number": "626-300-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-300-0008",
            "fax_number": "626-300-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "ANTONIO",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A062246",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "30171",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T8882",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2022038336",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME159509",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "66692",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "THMD00033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162215",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A622460",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q080045",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000071004",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.