STEPHEN K LIU MD PROFESSIONAL CORPORATION (NPI# 1093900961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093900961 |
| Entity Type | Organization |
| Organization Name | STEPHEN K LIU MD PROFESSIONAL CORPORATION |
| Practice Address |
1552 Coffee Rd Modesto CA 95355-3107 |
| Practice Telephone | 2095242333 |
| Practice Fax Number | 2095242142 |
| Mailing Telephone | 2095242333 |
| Mailing Fax Number | 2095242142 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | STEPHEN K LIU (PRESIDENT) |
| Authorized Official Telephone | 2095242333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A50939 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A50939 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI FOR STEPHEN K LIU MD | 1306889860 | 01 |
| Street Address |
1552 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
| 1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
| 1174920821 | Prudence Ticknor | Dietitian, Registered | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 | 2014-11-24 |
| 1235576638 | Matthew Laurence Tilstra | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-05-28 |
| 1619310737 | Rocio Acera Pozzi | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-04-08 |
| 1073735163 | Pam Sue Grassmidt | Nurse Practitioner | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2007-05-02 |
| 1124141163 | Central California Bariatric Surgery A Medical Corporation | Surgery | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 | 2007-04-06 |
| 1992710768 | Hera Obgyn Medical Group, Inc. | Obstetrics & Gynecology | 1552 Coffee Rd, 1st Floor, Modesto, CA 95355-3107 | 2006-07-30 |
| 1306889860 | Stephen Kao Liu | Radiology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-06-13 |
| 1619929429 | James Yuen Kuen Yip | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436930 | Abdur Reza Khan | Radiology | 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812 | 2011-07-02 |
| 1831493261 | Binh Tuan Quach | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2010-12-28 |
| 1255419081 | Joanne B. Lim | Radiology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
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| 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.