Individual provider Active NPI

Harley Russell Liker, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1619996980
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G79084 Issued in CA
Practice address
360 N Bedford Dr Ste 300
Beverly Hills, CA 90210-5129
Phone
(310) 860-1550
Fax
(310) 860-1551
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G79084 CA Primary

Addresses

Primary practice location

360 N Bedford Dr Ste 300
Beverly Hills, CA 90210-5129

Mailing address

360 N Bedford Dr Ste 300
Beverly Hills, CA 90210-5129
Phone (310) 860-1550

Other identifiers 1

IdentifierTypeStateIssuer
00G790840OtherCAMEDICAL PPIN #

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
I20140410002243 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2769614437

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79084CAMDPharmacist
G79084CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1619996980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105129",
            "telephone_number": "310-860-1550",
            "fax_number": "310-860-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105129",
            "telephone_number": "310-860-1550",
            "fax_number": "310-860-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKER",
        "first_name": "HARLEY",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G790840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.