Organization Active NPI

June Chih Jesse Liu MD Inc

  • Neurology Physician
  • Arcadia, CA
National Provider Identifier
1962653162
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A77423 Issued in CA
Legal business name
JUNE CHIH JESSE LIU MD INC
Practice address
713 W Duarte Rd # G543
Arcadia, CA 91007-7564
Phone
(626) 446-9697
Fax
(626) 446-9669
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Junechih Liu, MDNPI 1891768479
Title
President
Phone
(626) 446-9697

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A77423 CA Primary

Addresses

Primary practice location

713 W Duarte Rd # G543
Arcadia, CA 91007-7564

Mailing address

660 W Duarte Rd Unit a
Arcadia, CA 91007-7623
Phone (626) 446-9697

Other identifiers 1

IdentifierTypeStateIssuer
00A774230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000154 CA Part B Supplier - Clinic/Group Practice 3173685161 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

713 W Duarte Rd
#G543
Arcadia, CA 91007
Phone (626) 446-9697

660 W Duarte Rd
Ste A
Arcadia, CA 91007
Phone (626) 446-9697

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": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1962653162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W DUARTE RD UNIT A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077623",
            "telephone_number": "626-446-9697",
            "fax_number": "626-446-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD # G543",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564",
            "telephone_number": "626-446-9697",
            "fax_number": "626-446-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE CHIH JESSE LIU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JUNECHIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-446-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A77423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A774230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.