Individual provider Active NPI

Teresa Liu Harris, MS, NP

  • Adult Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1992259691
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95002891 Issued in CA
Practice address
3350 La Jolla Village Dr
San Diego, CA 92161
Phone
(858) 552-8585
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95002891 CA Primary

Addresses

Primary practice location

3350 La Jolla Village Dr
San Diego, CA 92161

Mailing address

4558 W Point Loma Blvd
San Diego, CA 92107-1241
Phone (626) 512-8137

Other practice location 1

3350 La Jolla Village Dr
San Diego, CA 92161
Phone (858) 552-8585 ext. 5519

Other practice location 2

751 Medical Center Ct
Chula Vista, CA 91911-6617
Phone (619) 502-5946

Other practice location 3

3350 La Jolla Village Dr
San Diego, CA 92161-6617
Phone (858) 552-8585 ext. 5519

Other practice location 4

751 Medical Center Ct
Chula Vista, CA 91911-6617
Phone (619) 502-5946

Other names 1

  • Teresa Fu-Yuan Liu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002891CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1992259691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071241",
            "telephone_number": "626-512-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92161",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 La Jolla Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92161",
            "country_code": "US",
            "telephone_number": "858-552-8585 x5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116617",
            "country_code": "US",
            "telephone_number": "619-502-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 La Jolla Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921616617",
            "country_code": "US",
            "telephone_number": "858-552-8585 x5519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116617",
            "country_code": "US",
            "telephone_number": "619-502-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERESA",
        "middle_name": "LIU",
        "credential": "MS, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95002891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "LIU",
            "middle_name": "FU-YUAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.