Active NPI
David Ken Wah Lieu, M.D.
- Cytopathology Physician
- Alhambra, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- G42121
- Practice address
- 320 S Garfield Ave
# 278
Alhambra, CA 91801-3886 - Phone
- (626) 281-7800
- Fax
- (626) 281-7802
- NPI assigned
- Mar 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | G42121 | CA | Primary |
| Family Medicine Physician | 207Q00000X | G42121 | CA |
Addresses
Primary practice location
320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Mailing address
320 S Garfield Ave
# 278
Alhambra, CA 91801-3886
Phone (626) 288-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G421211 | 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 |
|---|---|---|---|---|
| I20050720001114 | CA | Practitioner - Pathology | 6800823857 | Practice locations: Alhambra, CA; Los Alamitos, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of California, Irvine, California College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10861 Cherry St
Suite 202
Los Alamitos, CA 90720-5403
Phone (562) 430-9990
320 Garfield Ave
Suite 278
Alhambra, CA 91801
Phone (626) 281-7800
320 So Garfield Ave
Suite 278
Alhambra, CA 91801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42121 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David KW Lieu | Current | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients |
Locations
320 S Garfield Ave
Ste 278
Alhambra, CA 91801
Phone (626) 281-7800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Alhambra, CA
- NPI 1104861657
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1912966680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S GARFIELD AVE",
"address_2": "# 278",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013886",
"telephone_number": "626-288-7800",
"fax_number": "626-288-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S GARFIELD AVE",
"address_2": "# 278",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013886",
"telephone_number": "626-281-7800",
"fax_number": "626-281-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEU",
"first_name": "DAVID",
"middle_name": "KEN WAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "G42121",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G42121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G421211",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.