Organization Active NPI

Scott Liang MD Inc

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1649307638
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A86197 Issued in CA
Legal business name
SCOTT LIANG MD INC
Practice address
900 S 1St Ave
Ste G
Arcadia, CA 91006-3919
Phone
(626) 628-0808
Fax
(626) 628-0809
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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

Authorized official

Name
Scott Liang, MDNPI 1639124514
Title
Owner
Phone
(626) 628-0808

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 A86197 CA Primary

Addresses

Primary practice location

900 S 1St Ave
Ste G
Arcadia, CA 91006-3919

Mailing address

900 S 1St Ave
Ste G
Arcadia, CA 91006-3919
Phone (626) 628-0808

Other identifiers 3

IdentifierTypeStateIssuer
9176839MedicaidCA
DX163AOtherCAMEDICARE PTAN
222606482OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000436 CA Part B Supplier - Clinic/Group Practice 8820198278 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

900 S 1st Ave
Ste G
Arcadia, CA 91006
Phone (626) 624-4325

147 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 355-0960

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1649307638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 1ST AVE",
            "address_2": "STE G",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063919",
            "telephone_number": "626-628-0808",
            "fax_number": "626-628-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 1ST AVE",
            "address_2": "STE G",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063919",
            "telephone_number": "626-628-0808",
            "fax_number": "626-628-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT LIANG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-628-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9176839",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DX163A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "222606482",
            "state": "CA"
        }
    ],
    "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 Oct 7, 2012; 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.