Individual provider Active NPI

Eileen Aye Liljeblad, MD

  • Diagnostic Radiology Physician
  • Lubbock, TX
National Provider Identifier
1669411260
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
F5068 Issued in TX
Practice address
602 Indiana Avenue
Lubbock, TX 79415
Phone
(806) 775-8400
Fax
(806) 775-8412
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2006-0173 NM
Diagnostic Radiology Physician 2085R0202X 35.147971 OH
Diagnostic Radiology Physician 2085R0202X A33565 CA
Diagnostic Radiology Physician 2085R0202X F5068 TX Primary

Addresses

Primary practice location

602 Indiana Avenue
Lubbock, TX 79415

Mailing address

PO Box 1428
Lima, OH 45802-1428
Phone (844) 466-5613

Other practice location 1

230 Medical Center Dr
Seaman, OH 45679-8002
Phone (937) 386-3400

Other practice location 2

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7600

Other practice location 3

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 624-8798

Other practice location 4

6412 Laurel Ave
Lake Isabella, CA 93240-9529
Phone (760) 379-2681

Other names 1

  • Aye Aye Tin Sein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040206000163 TX Practitioner - Diagnostic Radiology 2769375328 Reassigns benefits to 6 organizations
I20210819003751 CA Practitioner - Diagnostic Radiology 2769375328 Reassigns benefits to 22 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1968
Medicare assignment
May accept Medicare assignment
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians
Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians
Adventist Health DelanoGroup PAC ID 1254248016, 47 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians
Simi Valley Hospital and Health Care ServicesGroup PAC ID 3173423399, 23 clinicians
Reedley Community HospitalGroup PAC ID 0941460984, 60 clinicians
Radiology Medical Group of WMMCGroup PAC ID 0244247864, 29 clinicians
Los Alamitos Radiology Group IncGroup PAC ID 5092718882, 69 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians
Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians
Mother Lode Diagnostic Imaging IncGroup PAC ID 9739176892, 16 clinicians
Adventist Health TulareGroup PAC ID 4385988757, 40 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone (661) 823-3000

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

1401 Garces Hwy
Delano, CA 93215-3660
Phone (661) 725-4800

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

2615 Chester Ave
Bakersfield, CA 93301-2014

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

372 W Cypress Ave
Reedley, CA 93654-2113
Phone (559) 638-8155

5224 Lehigh St
Lubbock, TX 79416-2341
Phone (888) 225-0628

700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

9350 N Loop Blvd
California City, CA 93505-2269
Phone (760) 373-1785

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33565CAMDDiagnostic Radiology Physician
MD2006-0173NMMDDiagnostic Radiology Physician
35.147971OHMDDiagnostic Radiology Physician
F5068TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Mother Lode Diagnostic Imaging Inc Diagnostic Radiology CurrentSince Jan 27, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Southern Inyo Healthcare District CurrentSince Oct 10, 2023 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Adventist Health Delano Current Accepting new patients
Simi Valley Hospital and Health Care Services CurrentSince Oct 6, 2025 Accepting new patients
St. Helena Hospital CurrentSince Nov 19, 2023 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2023 Accepting new patients
Hanford Community Hospital CurrentSince Dec 17, 2021 Accepting new patients
Willits Hospital Inc. CurrentSince Oct 28, 2021 Accepting new patients
Glendale Adventist Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Radiology Medical Group of WMMC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Southern Inyo Healthcare District CurrentSince Oct 10, 2023 Accepting new patients
Los Alamitos Radiology Group Inc Diagnostic Radiology CurrentSince Aug 4, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Jul 14, 2022 Accepting new patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Aug 1, 2021 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jul 14, 2022 Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Dec 1, 2021 Accepting new patients
Adventist Health Delano CurrentSince Aug 1, 2021 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Apr 19, 2024 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jul 14, 2022 Accepting new patients
Glendale Adventist Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Ukiah Adventist Hospital CurrentSince Sep 1, 2021 Accepting new patients
San Joaquin Community Hospital CurrentSince Jul 14, 2022 Accepting new patients
St. Helena Hospital CurrentSince Nov 19, 2023 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Jun 20, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Nov 1, 2021 Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Health and Human Services Commission Diagnostic Radiology Past Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations (25 of 49)

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • Direct secure messaging: eliljeblad623476@hisp.ehr.sutterhealth.org

Organizations & group practices 39

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 39

Hospital & facility affiliations 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1669411260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1428",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458021428",
            "telephone_number": "844-466-5613",
            "fax_number": "419-223-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVENUE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79415",
            "telephone_number": "806-775-8400",
            "fax_number": "806-775-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Seaman",
            "state": "OH",
            "postal_code": "456798002",
            "country_code": "US",
            "telephone_number": "937-386-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 E Lohman Ave",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118255",
            "country_code": "US",
            "telephone_number": "575-556-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882015209",
            "country_code": "US",
            "telephone_number": "575-624-8798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6412 Laurel Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Isabella",
            "state": "CA",
            "postal_code": "932409529",
            "country_code": "US",
            "telephone_number": "760-379-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILJEBLAD",
        "first_name": "EILEEN",
        "middle_name": "AYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2006-0173",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.147971",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A33565",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "F5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYE AYE",
            "last_name": "SEIN",
            "middle_name": "TIN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.