Wilson L Liu (NPI# 1528120748, PAC ID# 9638153448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528120748 |
| PAC ID by PECOS | 9638153448 |
| Professional Enrollment ID | I20040617000699 |
| Full Name | Wilson L Liu |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Address |
2910 Jefferson St Suite 100 Carlsbad CA 92008-2357 |
| Phone Number | 7607298600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931143799 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050128 | TRI-CITY MEDICAL CENTER |
| 050471 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2910 Jefferson St, Suite 100, Carlsbad, CA 92008-2357 | 7607298600 | CENTERS FOR FAMILY MEDICINE |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rae Park | Family Medicine | Centers for Family Medicine | 10601 Walker St, Suite 250, Cypress, CA 90630-4733 |
| Au-co Ly Nguyen | Family Medicine | Centers for Family Medicine | 13930 Seal Beach Blvd, Seal Beach, CA 90740-5301 |
| Faranak Chloe Ghazi | Family Medicine | Centers for Family Medicine | 29873 Santa Margarita Pkwy, Suite 100, Rancho Santa Margarita, CA 92688-3626 |
| Bassam R Bilal | Internal Medicine | Centers for Family Medicine | 30281 Golden Lantern, Laguna Niguel, CA 92677-5979 |
| Dora Akuetteh Saforo | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Shahnoos Mahdavi | Internal Medicine | Centers for Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720-2334 |
| Gary Paul Korff | Family Medicine | Centers for Family Medicine | 2562 State St D, Carlsbad, CA 92008-1663 |
| Lothar Mcmillian | Family Medicine | Centers for Family Medicine | 724 S El Camino Real, San Clemente, CA 92672-4250 |
| Lizander C Pandy | Family Medicine | Centers for Family Medicine | 32312 Camino Capistrano, San Juan Capistrano, CA 92675-4518 |
| Elmo M Agatep | Family Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Street Address |
2910 JEFFERSON ST SUITE 100 |
| City | CARLSBAD |
| State | CA |
| Zip | 92008-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisa Duclos Robinson | Psychologist, Clinical | 2910 Jefferson St, Suite 204, Carlsbad, CA 92008-2358 | |
| Douglas Mitchell Osborne | Optometry | 2910 Jefferson St, Suite 101, Carlsbad, CA 92008-2357 | |
| Mark W Vandoren | Chiropractic | 2910 Jefferson St, Suite 205, Carlsbad, CA 92008-2358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce B Crawford | Qualified Audiologist | American Hearing Aid Center of The South Bay Inc | 1820 Marron Rd, Suite 102, Carlsbad, CA 92008-1177 |
| Julie A Khoury | Audiologist | American Hearing Aid Center of The South Bay Inc | 1820 Marron Rd, Suite 102, Carlsbad, CA 92008-1177 |
| Ryan D Thebo | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Roselyn J Hogan | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Karen U Paradee | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Katarzyna Lalicata | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Amy J Nielsen | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Angela M Bretton | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Emily N Rorabaugh | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 2510 El Camino Real, Carlsbad, CA 92008-1273 |
| Elesha Rae Starkey | Optometry | David W Stemley Od Inc | 2540 El Camino Real, Suite B, Carlsbad, CA 92008-1286 |
| Find all physicians in zip 92008 | |||
| City | CARLSBAD |
| Zip Code | 92008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARLSBAD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Wilson L Liu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.