Organization Active NPI

Leewen Liu.MD. Inc.

  • Internal Medicine Physician
  • Saratoga, CA
National Provider Identifier
1548436868
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G080609 Issued in CA
Legal business name
LEEWEN LIU.MD. INC.
Practice address
19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601
Phone
(408) 973-8861
Fax
(408) 973-8858
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Leewen Liu, MDNPI 1114098415
Title
MD
Phone
(408) 973-8861

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G080609 CA Primary

Addresses

Primary practice location

19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601

Mailing address

19040 Cox Ave
Suite 1
Saratoga, CA 95070-6601
Phone (408) 973-8861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001199 CA Part B Supplier - Clinic/Group Practice 1759370067 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga, CA

National Provider Directory

National Provider Directory

Locations

19040 Cox Ave
Ste 1
Saratoga, CA 95070
Phone (408) 793-8861

19040 Cox Ave
Saratoga, CA 95070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1548436868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19040 COX AVE",
            "address_2": "SUITE 1",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706601",
            "telephone_number": "408-973-8861",
            "fax_number": "408-973-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 COX AVE",
            "address_2": "SUITE 1",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706601",
            "telephone_number": "408-973-8861",
            "fax_number": "408-973-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWEN LIU.MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LEEWEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "408-973-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G080609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.