Organization Active NPI

Casey Fu M D Inc

  • Gastroenterology Physician
  • Hacienda Heights, CA
National Provider Identifier
1861680084
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G79788 Issued in CA
Legal business name
CASEY FU M D INC
Practice address
16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502
Phone
(626) 581-8330
Fax
(626) 581-8411
NPI assigned
Oct 12, 2007
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Authorized official

Name
Dr. Casey S Fu-Liu, MD
Title
President
Phone
(626) 581-8330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G79788 CA Primary

Addresses

Primary practice location

16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502

Mailing address

16404 Colima Rd FL 1
Hacienda Heights, CA 91745-5502
Phone (626) 581-8330

Other practice location 1

630 S Raymond Ave
Suite 240
Pasadena, CA 91105-3278
Phone (626) 449-9920

Other identifiers 3

IdentifierTypeStateIssuer
00G797880MedicaidCA
DO7270OtherCARAILROAD MEDICARE PTAN
00G797881MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Casey Fu2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 S Raymond Ave
Unit 240
Pasadena, CA 91105
Phone (626) 449-9920

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1861680084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16404 COLIMA RD FL 1",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455502",
            "telephone_number": "626-581-8330",
            "fax_number": "626-581-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 S Raymond Ave",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053278",
            "country_code": "US",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASEY FU M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "FU-LIU",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G79788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DO7270",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G797881",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.