Individual provider Active NPI

Yan Liu, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Rosemead, CA
National Provider Identifier
1922370071
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
135953 Issued in CA
Practice address
7940 Garvey Ave Ste 102
Rosemead, CA 91770-2400
Phone
(626) 374-8574
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 135953 CA Primary

Addresses

Primary practice location

7940 Garvey Ave Ste 102
Rosemead, CA 91770-2400

Mailing address

9805 La Vine CT
Rancho Cucamonga, CA 91701-5952

Other practice location 1

8215 White Oak Ave Ste 101
Rancho Cucamonga, CA 91730-7613
Phone (626) 374-8574

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
I20150902001895 CA Practitioner - Physical Medicine and Rehabilitation 9335455500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7940 Garvey Ave
Suite 102
Rosemead, CA 91770-2400
Phone (626) 374-8574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135953CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yan Liu MD Physical Medicine & Rehabilitation CurrentSince Mar 9, 2021 Accepting new patients

Locations

8215 White Oak Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (626) 374-8574

8215 White Oak Ave
#101
Rancho Cucamonga, CA 91730
Phone (626) 374-8574

7940 Garvey Ave
Ste 102
Rosemead, CA 91770
Phone (626) 374-8574

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.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1922370071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 LA VINE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 GARVEY AVE STE 102",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702400",
            "telephone_number": "626-374-8574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8215 White Oak Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307613",
            "country_code": "US",
            "telephone_number": "626-374-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "YAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "135953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.