Individual provider Active NPI

Yuan Liu, FNP-C

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1669250288
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
95027198 Issued in CA
Practice address
701 S Atlantic Blvd Ste 100
Monterey Park, CA 91754-3845
Phone
(626) 300-9980
NPI assigned
Sep 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 95027198 CA Primary

Addresses

Primary practice location

701 S Atlantic Blvd Ste 100
Monterey Park, CA 91754-3845

Mailing address

701 S Atlantic Blvd Ste 100
Monterey Park, CA 91754-3845
Phone (626) 300-9980

Other practice location 1

22716 Mountain Laurel Way
Diamond Bar, CA 91765-2526
Phone (646) 280-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95027198CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1669250288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S ATLANTIC BLVD STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543845",
            "telephone_number": "626-300-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S ATLANTIC BLVD STE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543845",
            "telephone_number": "626-300-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22716 Mountain Laurel Way",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917652526",
            "country_code": "US",
            "telephone_number": "646-280-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95027198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.