Individual provider Active NPI

Joseph Fujun Liu, M.D.

  • Psychiatry Physician
  • Perris, CA
National Provider Identifier
1881836211
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A119029 Issued in CA
Practice address
1688 N Perris Blvd
Ste. L6-L11
Perris, CA 92571-4709
Phone
(951) 443-2200
Fax
(951) 443-2230
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A119029 CA Primary

Addresses

Primary practice location

1688 N Perris Blvd
Ste. L6-L11
Perris, CA 92571-4709

Mailing address

1688 N Perris Blvd
Ste. L6-L11
Perris, CA 92571-4709
Phone (951) 443-2200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000037 CA Practitioner - Psychiatry 9436387982 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119029CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Nov 20, 2013 Accepting new patients
Department of State Hospitals Current Accepting new patients
County of Riverside CurrentSince Nov 20, 2013 Accepting new patients
County of Riverside Current Accepting new patients

Locations

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1688 N Perris Blvd
Ste L11
Perris, CA 92571
Phone (951) 443-2200

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1881836211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "address_2": "STE. L6-L11",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-443-2200",
            "fax_number": "951-443-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "address_2": "STE. L6-L11",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-443-2200",
            "fax_number": "951-443-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JOSEPH",
        "middle_name": "FUJUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A119029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

Verify at the official NPI Registry.