Organization Active NPI

Michelle W. Liu, MD Inc.

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1982737110
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A73072 Issued in CA
Legal business name
MICHELLE W. LIU, MD INC.
Practice address
1844 San Miguel Dr
#303
Walnut Creek, CA 94596-4962
Phone
(925) 930-8100
NPI assigned
Mar 14, 2007
Last updated
Jan 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Michelle LiuNPI 1700802451
Title
President
Phone
(925) 930-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A73072 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr
#303
Walnut Creek, CA 94596-4962

Mailing address

1844 San Miguel Dr
#303
Walnut Creek, CA 94596-4962
Phone (925) 930-8100

Other identifiers 1

IdentifierTypeStateIssuer
00A730720MedicaidCA

National Provider Directory

National Provider Directory

Locations

1844 San Miguel Dr
Ste 303
Walnut Creek, CA 94596
Phone (925) 930-8100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1982737110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "#303",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-930-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "#303",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-930-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE W. LIU, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-930-8100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A73072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.