EDWARD LIU (NPI# 1114253457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253457 |
| Entity Type | Individual |
| Full Name | EDWARD LIU |
| Credential | ANP |
| Practice Address |
3311 Pacific Ave Livermore CA 94550-7007 |
| Practice Telephone | 9254621755 |
| Practice Fax Number | 9252016295 |
| Mailing Telephone | 9254621755 |
| Mailing Fax Number | 9252016295 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN709195 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN60118146 | WA | Nursing Service Providers |
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
PHN74857 | CA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP60118946 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP19114 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | G8890350 | 01 | |
| WA | 9662180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609249861 | Edward Liu | Physical Therapist | 1220 S Dale Mabry Hwy Ste 101, Tampa, FL 33629-5019 | 2015-11-09 |
| 1467668012 | Edward S Liu | Dentist | 4149 Tweedy Blvd Ste J, South Gate, CA 90280-6167 | 2007-05-14 |
| 1801819453 | Edward C Liu | Dentist | 2123 Aurelius Rd, Holt, MI 48842-1333 | 2006-07-25 |
| 1871587683 | Edward Wei Chi Liu | Internal Medicine | 19 Davis Ave Fl 6, Neptune, NJ 07753-4488 | 2005-09-07 |
| 1477749232 | Edward Y. Liu | Obstetrics & Gynecology | 415 N Crescent Dr, Suite 100, Beverly Hills, CA 90210-4860 | 2007-09-14 |
| 1457449555 | Edward S Liu | Pathology | One Capital Way, Pathology Department, Pennington, NJ 08534-2519 | 2006-10-11 |
| 1861400962 | Edward Michael Liu | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-04 |
| 1437126034 | Edward C Liu | Orthopaedic Surgery | 709 Hollybrook Dr, Suite 3401, Longview, TX 75605-2411 | 2006-03-02 |
| Street Address |
3311 PACIFIC AVE |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877121 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94551 | 2006-07-06 |
| 1306354428 | Lauren Elizabeth Ham | Counselor | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-11 |
| 1760999270 | Amelia Patimasang Harmon | Peer Specialist | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2018-01-05 |
| 1699211482 | Kinalani Hoe | Social Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2017-01-17 |
| 1578962064 | Guadalupe Guillermina Barattino | Community Health Worker | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2014-08-20 |
| 1225219942 | Nelida I Villanueva | Case Manager/Care Coordinator | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-11-21 |
| 1710105408 | Axis Community Health Inc | Clinic/Center | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2007-04-20 |
| 1093893679 | Sreedevi Jadcherla Ayyala | Internal Medicine | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-11-01 |
| 1891898102 | Suzanne Silva | Nurse Practitioner | 3311 Pacific Ave, Livermore, CA 94550-7007 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
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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.