Kelvin Zili Liu, MSN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010204 Issued in CA

Practice address

2707 E Valley Blvd Ste 116
West Covina, CA 91792-3196

Phone

(626) 450-5733

NPI assigned

Oct 3, 2018

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
• Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Gem Medical Group Corporation

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1689364721

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Anaheim Emergency Medical Group

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1114626017

  Single Specialty

  Medicare reassignment NPD
• Spectrum Emergency Physicians Group Inc.

  • Emergency Medicine Physician
  • Anaheim, CA
  • NPI 1831783729

  Single Specialty

  Medicare reassignment NPD
• Gem Medical Group Corporation

  dba GEM Medical Group

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1689386815

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Anaheim Regional Medical

  dba AHMC Anaheim Regional Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1891938122
  Care Compare affiliation
• Ahmc Whittier Hospital Medical

  dba Whittier Hospital Medical Center

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1023000569
  Care Compare affiliation

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1659856888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 FALLEN DR",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484110",
            "telephone_number": "626-450-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 116",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923196",
            "telephone_number": "626-450-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "KELVIN",
        "middle_name": "ZILI",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Liou
• Cynthia Lira
• Jiandong Liu, MD
• Liu, Joseph H D.D.S. Inc.
• Joseph Horng Ting Liu, DDS
• Meryl Francine Liu
• Peter Liu
• Peter C Liu, D.D.S
• Qian Liu
• Stephanie Jung Liu, D.D.S.

• Family Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.