Organization Active NPI

Yan Liu MD

  • Health Service Clinic/Center
  • Rosemead, CA
National Provider Identifier
1942891163
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
YAN LIU MD
Practice address
7940 Garvey Ave Ste 102
Rosemead, CA 91770-2400
Phone
(626) 374-8574
NPI assigned
Jan 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Authorized official

Name
Yan Liu, MDNPI 1922370071
Title
Owner
Phone
(626) 374-8574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Health Service Clinic/Center 261QH0100X Primary
Medical Specialty Clinic/Center 261QM2500X
Rehabilitation Clinic/Center 261QR0400X

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414001115 CA Part B Supplier - Clinic/Group Practice 7719395631 Receives reassigned benefits from 1 practitioner
Practice locations: Rosemead, CA

National Provider Directory

National Provider Directory

Locations

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

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657411200000",
    "number": "1942891163",
    "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": {
        "organization_name": "YAN LIU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-30",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-374-8574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.