Mark Yeejen Liu, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A22527 Issued in CA

Practice address

6644 Lonetree Blvd Ste 300
Rocklin, CA 95765-4432

Phone

(916) 721-2977

Fax

(916) 659-9629

NPI assigned

Jan 23, 2006

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 10

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mliu957916@wm.providencedirect.org

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.

• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1306904222
  Medicare reassignment NPD
• Vanguard Clinical Oversight, a Medical Corporation

  • Family Medicine Physician
  • Granite Bay, CA
  • NPI 1669310397
  NPD Authorized official
• Vivid Lumiere, a Medical Corporation

  • Family Medicine Physician
  • Granite Bay, CA
  • NPI 1043158777
  NPD Authorized official
• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1861661365
  NPD

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1710967914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7978 POCKET RD APT 154",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315726",
            "telephone_number": "509-730-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 LONETREE BLVD STE 300",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654432",
            "telephone_number": "916-721-2977",
            "fax_number": "916-659-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7978 Pocket Rd Apt 154",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958315726",
            "country_code": "US",
            "telephone_number": "509-730-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MARK",
        "middle_name": "YEEJEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1207",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP1714",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "OP1714",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00338717",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8449845",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5389LI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "20A22527",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632712-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000284265",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "208083",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "22527",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7710782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Jo Linn, MFT
• Olga Linsky
• Zalia Lipson, LMFT
• Sheryl Lister, MS, OTR/L
• Gretchen Littler
• Live Medical Group PC
• Kimberly Aileen Llamas Toro
• Abigail Llamas
• Da'Shawn Lloyd
• Stacie Lloyd, PHD

• Family Medicine Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.