Active NPI
Edwin King Liu, DO
- Anesthesiology Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OP61374543
- Practice address
- 4445 Magnolia Ave
Riverside, CA 92501-4135 - Phone
- (951) 788-3000
- NPI assigned
- Mar 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OP61374543 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | CA |
Addresses
Primary practice location
4445 Magnolia Ave
Riverside, CA 92501-4135
Mailing address
6431 Fannin Street
Suite MSB 5.196
Houston, TX 77030
Phone (713) 500-6223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95500695D75264 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Anesthesiology
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Multicare Auburn Medical Center
- Tacoma General Allenmore Hospital
- Multicare Covington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61374543 | WA | MD | Anesthesiology Physician |
| 390200000X | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
400 E Pioneer
Ste 101
Puyallup, WA 98372
Phone (253) 445-5828
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.
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1942769906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "SUITE MSB 5.196",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-500-6223",
"fax_number": "713-500-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014135",
"telephone_number": "951-788-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "EDWIN",
"middle_name": "KING",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP61374543",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "390200000X",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95500695D75264",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.