Active NPI
Chiangyuan Chuck Liau, M.D..
- Dermatology Physician
- Brea, CA
National Provider Identifier
1891721171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A31031
- Practice address
- 875 N Brea Blvd
Brea, CA 92821-2606 - Phone
- (714) 529-6842
- Fax
- (714) 256-1728
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A31031 | CA | Primary |
Addresses
Primary practice location
875 N Brea Blvd
Brea, CA 92821-2606
Mailing address
PO Box 18704
Irvine, CA 92623-8704
Phone (909) 510-7678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A310310 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20061004000436 | CA | Practitioner - Dermatology | 0042216657 | Practice locations: La Mirada, CA; Santa Ana, CA; West Covina, CA; Westminster, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Hospital Circle
Westminster, CA 92683-3910
Phone (714) 893-4541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31031 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1891721171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18704",
"city": "IRVINE",
"state": "CA",
"postal_code": "926238704",
"telephone_number": "909-510-7678",
"fax_number": "949-333-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 N BREA BLVD",
"city": "BREA",
"state": "CA",
"postal_code": "928212606",
"telephone_number": "714-529-6842",
"fax_number": "714-256-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAU",
"first_name": "CHIANGYUAN",
"middle_name": "CHUCK",
"credential": "M.D..",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A31031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A310310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.