NPIMap

Individual provider Active NPI

Emily A Lieuallen, DO

  • Family Medicine Physician
  • Fall River Mills, CA
National Provider Identifier
1669786174
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A25074 Issued in CA
Practice address
43658 State Highway 299 E
Fall River Mills, CA 96028-9819
Phone
(530) 999-9020
Fax
(530) 362-4068
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A25074 CA Primary
Family Medicine Physician 207Q00000X DO164168 OR

Addresses

Primary practice location

43658 State Highway 299 E
Fall River Mills, CA 96028-9819

Mailing address

PO Box 490
Fall River Mills, CA 96028-0490
Phone (530) 999-9020

Other identifiers 1

IdentifierTypeStateIssuer
1669786174MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131027000003 OR Practitioner - Family Practice 9234379678 Reassigns benefits to 2 organizations
I20260406001970 CA Practitioner - Family Practice 9234379678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Mountain Hospital DistrictGroup PAC ID 5193719219, 29 clinicians
Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Practice addresses (Care Compare)

170 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-1311

180 Ford Rd
John Day, OR 97845-2009
Phone (541) 575-0404

43658 Hwy 299
Fall River Mills, CA 96028
Phone (530) 999-9020

Hospital & facility affiliations

  • Blue Mountain Hospice Hospice, John Day, OR, CCN 381552
  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
  • Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A25074CAMDFamily Medicine Physician
DO164168ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Hospital District Family Medicine CurrentSince Oct 18, 2013 Accepting new patients
Western Healthcare Services Texas CurrentSince Jul 1, 2022 Accepting new patients
Blue Mountain Hospital District CurrentSince Oct 18, 2013 Accepting new patients

Locations

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

180 Ford Rd
John Day, OR 97845
Phone (541) 575-0404

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/
  • Direct secure messaging: elieuallen@direct.bmh.securechart.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1669786174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960280490",
            "telephone_number": "530-999-9020",
            "fax_number": "530-362-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43658 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289819",
            "telephone_number": "530-999-9020",
            "fax_number": "530-362-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEUALLEN",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A25074",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO164168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669786174",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River Mills, CA

Sources for this page

Verify at the official NPI Registry.