Active NPI
Jie Liu, MD
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A147758
- Practice address
- 302 Washington St # 201
San Diego, CA 92103-2110 - Phone
- (619) 438-4348
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A147758 | CA | Primary |
Addresses
Primary practice location
302 Washington St # 201
San Diego, CA 92103-2110
Mailing address
302 Washington St # 201
San Diego, CA 92103-2110
Phone (619) 438-4348
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036166709 | Other | IL | STATE LICENSE |
| 323476-01 | Other | NY | STATE LICENSE |
| EMC0003850 | Other | MI | STATE LICENSE |
| MD61368889 | Other | WA | STATE LICENSE |
| ME164158 | Other | FL | STATE LICENSE |
| CDR.03117 | Other | CO | STATE LICENSE |
| U6396 | Other | TX | STATE LICENSE |
| 3415-320 | Other | WI | STATE LICENSE |
| 71292 | Other | AZ | STATE LICENSE |
| 25MA11856500 | Other | NJ | STATE LICENSE |
| 47156 | Other | AL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147758 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners Colorado, PC | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Openloop Healthcare Partners New Jersey PC | Current | Accepting new patients |
Locations
3707 E Southern Ave
Mesa, AZ 85206
Phone (480) 327-9103
3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970
8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501
820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229
101 Hudson St
Fl 21
Jersey City, NJ 07302
Phone (201) 706-7135
28 Liberty St
New York, NY 10005
Phone (415) 205-1229
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- jliu34750@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
-
- General Practice Physician
- Jersey City, NJ
- NPI 1588335152
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1780066472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST # 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "619-438-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WASHINGTON ST # 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032110",
"telephone_number": "619-438-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A147758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036166709",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "323476-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "EMC0003850",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD61368889",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME164158",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "CDR.03117",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "U6396",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3415-320",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "71292",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "25MA11856500",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "47156",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.