Provider Demographics
NPI:1740381029
Name:LIU, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 COYLE AVE
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608
Mailing Address - Country:US
Mailing Address - Phone:916-537-5079
Mailing Address - Fax:
Practice Address - Street 1:3160 FOLSOM BLVD.
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77965207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000810374637OtherPHCS
CA2702171OtherUNITED HEALTHCARE
CA095816OtherHEALTH NET
CA1560067OtherGREAT WEST
CAA77965OtherBLUE CROSS
CA5432336OtherFIRST HEALTH
CA7485379OtherAETNA
CA90129998OtherPACIFICARE
CA3333356OtherCIGNA
CAMCMG221900OtherWESTERN HEALTH ADVANTAGE
CA2018913OtherFIRST HEALTH
CA86736OtherINTERPLAN
CA90129998OtherPACIFICARE
CA095816OtherHEALTH NET