Active NPI
Justin Liu, M.D.
- Physical Medicine & Rehabilitation Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 00A766360
- Practice address
- 355 Dardanelli Lane
El Camino Hospital Inpatient Rehabilitation Center
Los Gatos, CA 95032 - Phone
- (408) 866-4030
- Fax
- (408) 871-7491
- NPI assigned
- May 31, 2005
- Last updated
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 00A766360 | CA | Primary |
Addresses
Primary practice location
355 Dardanelli Lane
El Camino Hospital Inpatient Rehabilitation Center
Los Gatos, CA 95032
Mailing address
1484 Pollard Rd # 492
Los Gatos, CA 95032-1031
Phone (408) 866-4030
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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A766360 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin Liu MD Professional Medical Corporation | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Dignity Health | Current | Accepting new patients | |
| UCSF Health Community Hospitals | Current | Accepting new patients | |
| Samsonov M.D. Medical Corporation | Past | Accepting new patients |
Locations
1484 Pollard Rd
Los Gatos, CA 95032
Phone (408) 348-9102
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
450 Stanyan St
Ste 658
San Francisco, CA 94117
Phone (415) 750-5762
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1839 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (415) 952-5319
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Walnut Creek, CA
- NPI 1326281064
-
dba Sister Mary Philippa Health Center
- Clinic/Center
- San Francisco, CA
- NPI 1780727792
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Nephrology Physician
- Napa, CA
- NPI 1164861290
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Leandro, CA
- NPI 1235600925
-
- Home Health Agency
- Newark, CA
- NPI 1386093714
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- Rehabilitation Hospital Unit
- Los Gatos, CA
- NPI 1679899256
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1932102332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1484 POLLARD RD # 492",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321031",
"telephone_number": "408-866-4030",
"fax_number": "408-871-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 DARDANELLI LANE",
"address_2": "EL CAMINO HOSPITAL INPATIENT REHABILITATION CENTER",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-866-4030",
"fax_number": "408-871-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "00A766360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.