Active NPI
Lide Liu, M.D.
- Hospitalist Physician
- Alhambra, CA
National Provider Identifier
1972719557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A96669
- Practice address
- 1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413 - Phone
- (818) 839-5200
- Fax
- (818) 839-5190
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A96669 | CA | Primary |
Addresses
Primary practice location
1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413
Mailing address
1680 S Garfield Ave Ste 204
Alhambra, CA 91801-5413
Phone (818) 839-5200
Other practice location 1
3001 Sillect Ave
Bakersfield, CA 93308-6337
Phone (661) 477-9283
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96669 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astrana Care Hospitalists, a Medical Corporation | Hospitalist | Current | Accepting new patients |
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients | |
| Adventist Health Physicians Network | Past | Accepting new patients |
Locations
1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Alhambra, CA
- NPI 1265658595
-
- General Practice Physician
- Bakersfield, CA
- NPI 1396043683
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1972719557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 S GARFIELD AVE STE 204",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918015413",
"telephone_number": "818-839-5200",
"fax_number": "818-839-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 S GARFIELD AVE STE 204",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918015413",
"telephone_number": "818-839-5200",
"fax_number": "818-839-5190"
}
],
"practiceLocations": [
{
"address_1": "3001 Sillect Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933086337",
"country_code": "US",
"telephone_number": "661-477-9283",
"fax_number": "661-310-9506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "LIDE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A96669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.