Pacific Psychiatric Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PACIFIC PSYCHIATRIC ASSOCIATES

Practice address

212 9TH St Ste 401
Oakland, CA 94607-4428

Phone

(510) 285-6359

Fax

(510) 879-7406

NPI assigned

Sep 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Landie Liu, MD

Title

President

Phone

(415) 686-9128

Specialties & licenses 1

Addresses

Other names 1

• Samantha Liu, MD, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1891344347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAKESHORE AVE APT 6",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061660",
            "telephone_number": "415-686-9128",
            "fax_number": "510-879-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 9TH ST STE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074428",
            "telephone_number": "510-285-6359",
            "fax_number": "510-879-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LANDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-686-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samantha Liu, MD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renee T. Pacheco, MD
• Vivian Pacheco
• Pacific Imaging Consultants, a Medical Group, Inc.
• Pacific Medical, Inc.
• Pacific Pharmacy
• Pacifica Oakland LLC
• Jin Packard, MD
• Kayla Packnett
• Tessa Padilla Padilla Fisher
• Jose Ignacio Padilla-Hernandez

• Psychiatry Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.