Organization Active NPI

Angela W Liao MD Inc

  • Family Medicine Physician
  • Arcadia, CA
National Provider Identifier
1568775328
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61124 Issued in CA
Legal business name
ANGELA W LIAO MD INC
Practice address
301 W Huntington Dr Ste 301
Arcadia, CA 91007-1531
Phone
(626) 447-4567
Fax
(626) 447-4585
NPI assigned
Jul 22, 2010
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Angela W Liao, MDNPI 1801881453
Title
Owner
Phone
(626) 447-4567

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
Family Medicine Physician 207Q00000X A61124 CA Primary

Addresses

Primary practice location

301 W Huntington Dr Ste 301
Arcadia, CA 91007-1531

Mailing address

301 W Huntington Dr Ste 301
Arcadia, CA 91007-1531
Phone (626) 447-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100918000171 CA Part B Supplier - Clinic/Group Practice 7012032725 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

612 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 447-4567

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1568775328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 301",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071531",
            "telephone_number": "626-447-4567",
            "fax_number": "626-447-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR STE 301",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910071531",
            "telephone_number": "626-447-4567",
            "fax_number": "626-447-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA W LIAO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-447-4567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.