JIM LIAO (NPI# 1023033552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023033552 |
| Entity Type | Individual |
| Full Name | JIM LIAO |
| Credential | PA |
| Practice Address |
300 Medical Plz Ste 400 Los Angeles CA 90095-0001 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108255111 |
| Mailing Telephone | 3108255111 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | PA16667 | CA | Allopathic & Osteopathic Physicians |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA16667 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA16667 | 05 |
| Street Address |
300 MEDICAL PLZ STE 400 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487185039 | Ucla Mattel Children's Hospital | Clinic/Center | 300 Medical Plz, 3300, Los Angeles, CA 90095-0001 | 2017-03-24 |
| 1326493842 | Paola Suarez | Psychiatry & Neurology | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2016-05-03 |
| 1043626377 | Susan Vereb | Physical Therapist | 300 Medical Plz, Suite B200, Los Angeles, CA 90095-0001 | 2014-07-08 |
| 1962752006 | Emma Billingslea-yoon | Nurse Practitioner | 300 Medical Plz, Suite 200, Los Angeles, CA 90095-0001 | 2012-09-17 |
| 1639458557 | Charles Jay Furst | Psychologist | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2011-08-09 |
| 1457648446 | Maria Etchepare | Registered Nurse | 300 Medical Plz, Suite 200, Los Angeles, CA 90095-0001 | 2011-06-29 |
| 1114154861 | Jennifer Lynn Kruse | Psychiatry & Neurology | 300 Medical Plz, Rm 2273, Los Angeles, CA 90095-6968 | 2009-06-19 |
| 1457596272 | Scott C. Fears | Psychiatry & Neurology | 300 Medical Plz, Suite 2339, Los Angeles, CA 90095-0001 | 2008-12-08 |
| 1144484999 | Nicholas James Parziale | Psychiatry & Neurology | 300 Medical Plz, Suite B-200, Los Angeles, CA 90095-0001 | 2008-07-10 |
| 1235391418 | Indranil Sen-gupta | Psychiatry & Neurology | 300 Medical Plz, Suite B200, Los Angeles, CA 90095-0001 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023390606 | Emily Elizabeth Talmich | Physician Assistant | 1450 San Pablo St # 6200, Los Angeles, CA 90033-5331 | 2011-09-09 |
| 1891089892 | Claudia G Pierola | Physician Assistant | 12311 Pacific Ave Apt 5, Los Angeles, CA 90066-4421 | 2011-06-07 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1699948596 | Christopher Tatum | Physician Assistant | 637 S Lucas Ave, Fl 1, Los Angeles, CA 90017 | 2008-04-11 |
| 1194848457 | Sebastian Fuentes | Physician Assistant | 2200 W 3rd St Ste 300, Los Angeles, CA 90057-1936 | 2007-04-09 |
| 1245396092 | Patricia Delcarmen Jimenez | Physician Assistant | 1718 Hollyvista Ave, Los Angeles, CA 90027-4626 | 2006-12-28 |
| 1063078897 | Laura Monica Manosalva Vargas | Physician Assistant | 11301 Wilshire Blvd, Bldg.500, Nsgy Suite 6664, Los Angeles, CA 90073 | 2019-05-16 |
| 1548736903 | Jocelyn Choy | Physician Assistant | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2018-10-23 |
| 1457839649 | Kareem Sharaf | Physician Assistant | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1689166787 | Lennie Thanh Ho Ngo | Physician Assistant | 1225 Wilshire Blvd, Los Angeles, CA 90017 | 2018-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on JIM LIAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.