Individual provider Active NPI

Steven Si Liu, MD

  • Interventional Pain Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1952467698
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A110988 Issued in CA
Practice address
4626 Willow Rd Ste 200
Pleasanton, CA 94588-8564
Phone
(866) 623-7600
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A110988 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A110988 CA
Interventional Pain Medicine Physician 208VP0014X A110988 CA Primary

Addresses

Primary practice location

4626 Willow Rd Ste 200
Pleasanton, CA 94588-8564

Mailing address

4626 Willow Rd Ste 200
Pleasanton, CA 94588-8564

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
I20100728000751 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 2163555111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2180 W Grant Line Rd
Suite 100
Tracy, CA 95377-7343
Phone (925) 463-0470

365 Lennon LN
Walnut Creek, CA 94598-5915

4626 Willow Rd
Suite 200
Pleasanton, CA 94588-8564
Phone (925) 463-0470

5601 Norris Canyon Rd
San Ramon, CA 94583-5407

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110988CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 1, 2023 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc CurrentSince Nov 1, 2017 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2023 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Current Accepting new patients
Bass Medical Group Current Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
San Ramon Regional Medical Center, LLC Interventional Pain Medicine Past Accepting new patients
Yale New Haven Hospital Interventional Pain Medicine Past Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients
Bass Medical Group Past Accepting new patients
Stanford Health Care Anesthesiology Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

5601 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 277-1055

5601 Norris Canyon Rd
Ste 130
San Ramon, CA 94583
Phone (925) 463-0470

2180 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (925) 463-0470

2180 W Grant Line Rd
Tracy, CA 95377
Phone (209) 627-0822

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: steven.liu.1@25176.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1952467698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888564",
            "telephone_number": "866-623-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "STEVEN",
        "middle_name": "SI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A110988",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A110988",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A110988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.