PETER W LIAO (NPI# 1093866469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093866469 |
| Entity Type | Individual |
| Full Name | PETER W LIAO |
| Credential | M.D. |
| Practice Address |
7117 Brockton Ave Riverside CA 92506-2658 |
| Practice Telephone | 9517823612 |
| Practice Fax Number | 9517843269 |
| Mailing Telephone | 9517823612 |
| Mailing Fax Number | 9517843269 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C55573 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 10827 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TUFTS HEALTH PLAN | 010827 | 01 | |
| NH | ANTHEM | 01YP02106NH01 | 01 |
| RAILROAD MEDICARE | 11022156 | 01 | |
| CIGNA HEALTHCARE | 5107366 | 01 | |
| AETNA | 2287453 | 01 | |
| UNITEDHEALTHCARE | 045353 | 01 | |
| NH | 30200632 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306809033 | Peter S. Liao | Surgery | 8860 Columbia 100 Pkwy Ste 400, Columbia, MD 21045-2384 | 2006-04-12 |
| 1790312189 | Peter Liao | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-25 |
| Street Address |
7117 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673626 | Nardo Barrameda Buena | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2005-07-20 |
| 1174186910 | Brenda Patricia Okware | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2019-04-17 |
| 1174049878 | Amy Dawn Causey | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-08-15 |
| 1083137269 | Sandra Garcia Soriano | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-07-19 |
| 1316471865 | May Leng | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-04-11 |
| 1861931230 | Stephanie Nicole Vasquez | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-02-18 |
| 1730634270 | Kaely Owen | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-08-24 |
| 1528416245 | Robert Vela | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-06-03 |
| 1306291299 | Joy Hong | Student in an Organized Health Care Education/Training Program | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-28 |
| 1346694320 | Jackie Shin | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| 1134626690 | Fanny Vanessa Giron Galeano | Internal Medicine | 3722 South Harlem Ave Macneal Center for Internal Medic, Suite Ll34, Riverside, IL 60546 | 2018-04-11 |
| Find all providers in RIVERSIDE | ||||
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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.