Basic Information
| Provider Information | |||||||||
| NPI: | 1740381029 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIU | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | J. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6501 COYLE AVE | ||||||||
| Address2: | HOSPITALIST OFFICE | ||||||||
| City: | CARMICHAEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9165375079 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3160 FOLSOM BLVD. | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167333333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 10/10/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A77965 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | A77965 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 000810374637 | 01 | CA | PHCS | OTHER | 2702171 | 01 | CA | UNITED HEALTHCARE | OTHER | 095816 | 01 | CA | HEALTH NET | OTHER | 1560067 | 01 | CA | GREAT WEST | OTHER | A77965 | 01 | CA | BLUE CROSS | OTHER | 5432336 | 01 | CA | FIRST HEALTH | OTHER | 7485379 | 01 | CA | AETNA | OTHER | 90129998 | 01 | CA | PACIFICARE | OTHER | 3333356 | 01 | CA | CIGNA | OTHER | MCMG221900 | 01 | CA | WESTERN HEALTH ADVANTAGE | OTHER | 2018913 | 01 | CA | FIRST HEALTH | OTHER | 86736 | 01 | CA | INTERPLAN | OTHER |