Individual provider Active NPI

Andrew Liao, MD

  • Family Medicine Physician
  • Arcadia, CA
National Provider Identifier
1619197373
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94171 Issued in CA
Practice address
612 W Duarte Rd
Suite 202
Arcadia, CA 91007-7602
Phone
(626) 447-4567
Fax
(626) 447-4585
NPI assigned
Apr 26, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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 A94171 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Suite 202
Arcadia, CA 91007-7602

Mailing address

612 W Duarte Rd
Suite 202
Arcadia, CA 91007-7602
Phone (626) 447-4567

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
I20071018000594 CA Practitioner - Family Practice 6204922453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94171CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew W. Liao, M.D., Inc Family Medicine CurrentSince Sep 17, 2007 Accepting new patients
Valley Presbyterian Emergency Medical Associates PastSince Aug 7, 2022 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Angela W Liao MD Inc Family Medicine Past Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Past Accepting new patients

Locations

301 W Huntington Dr
Ste 301
Arcadia, CA 91007
Phone (626) 254-2007

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

612 W Duarte Rd
Ste 305
Arcadia, CA 91007
Phone (626) 446-4659

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: andrew.liao.p158@direct.healthcarepartners.nextgenshare.com
  • Direct secure messaging: andrew.liao.p179@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 5

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 2

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1619197373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "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": "612 W DUARTE RD",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-447-4567",
            "fax_number": "626-447-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.