JIM LIAO PA NPI 1023033552

NPI Information

  • NPI: 1023033552
  • Provider Name: JIM LIAO, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 MEDICAL PLZ
    STE 400
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 825-5111

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NPI Details

Jim Liao, PA is a surgical physician assistant in Los Angeles, CA with 23 years of experience. Jim Liao, PA NPI is 1023033552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 MEDICAL PLZ
STE 400
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 825-5111

The NPI 1023033552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Creation of brain fluid drainage shunt, ventriculo-peritoneal, -pleural, other terminus (HCPCS:62223)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryPA16667CALIFORNIANo
2363AS0400XPhysician AssistantSurgicalPA16667CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P85599MEDICARE UPINCALIFORNIA
2WPA16567AMEDICARE PINCALIFORNIA
3PA16667MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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