Active NPI
John T Liu, MD
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1881734465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A69994
- Practice address
- 1245 Wilshire Blvd
Ste 914
Los Angeles, CA 90017-4810 - Phone
- (213) 484-8474
- Fax
- (213) 484-9054
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rosemead, CA
- NPI 1700059631
-
- Home Health Agency
- Montrose, CA
- NPI 1982364709
-
- Home Health Agency
- Los Angeles, CA
- NPI 1104132216
-
- Home Health Agency
- Encino, CA
- NPI 1396117982
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Southern California Keck School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1245 Wilshire Blvd
Suite 914
Los Angeles, CA 90017-4809
Phone (714) 505-9041
1245 Wilshire Blvd
Suite 914
Los Angeles, CA 90017-4810
Hospital & facility affiliations
- Cross Care, Inc
- Elegance Healthcare, Inc
- All Care Home Health of San Gabriel
- Aurora Home Health Care Services
- Pih Health Good Samaritan Hospital
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000733 | CA | Practitioner - Internal Medicine | 8426156894 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69994 | CA | MD | Internal Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital, L.P. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A69994 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1245 Wilshire Blvd
Ste 914
Los Angeles, CA 90017-4810
Mailing address
PO Box 241699
Los Angeles, CA 90024-9499
Phone (213) 484-8474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881734465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241699",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900249499",
"telephone_number": "213-484-8474",
"fax_number": "213-484-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "STE 914",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-484-8474",
"fax_number": "213-484-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A69994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.