Individual provider Active NPI

Liang-Yu Laura Tai, D.O.

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1568487528
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A74440 Issued in CA
Practice address
210 N Garfield Ave
Monterey Park, CA 91754-1746
Phone
(626) 307-7397
Fax
(626) 307-1807
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A74440 CA Primary

Addresses

Primary practice location

210 N Garfield Ave
Monterey Park, CA 91754-1746

Mailing address

210 N Garfield Ave
Monterey Park, CA 91754-1746
Phone (626) 307-7397

Other identifiers 1

IdentifierTypeStateIssuer
00AX74440MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000361 CA Practitioner - Family Practice 5496892788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garfield Health CenterGroup PAC ID 5597714766, 5 clinicians

Practice addresses (Care Compare)

210 N Garfield Ave
Suite 203
Monterey Park, CA 91754-1746
Phone (626) 307-7397

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A74440CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Health Center Family Medicine CurrentSince Apr 1, 2010 Accepting new patients
Garfield Health Center CurrentSince Apr 1, 2010 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

210 N Garfield Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 307-7397

7740 Garvey Ave
Ste B100B102
Rosemead, CA 91770
Phone (626) 927-0838

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1568487528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541746",
            "telephone_number": "626-307-7397",
            "fax_number": "626-307-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541746",
            "telephone_number": "626-307-7397",
            "fax_number": "626-307-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "LIANG-YU",
        "middle_name": "LAURA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A74440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX74440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.