JESICA FERNANDA LIU


Address: 7910 Frost St Ste 230, San Diego, CA 92123-2776
Phone: 8582460053

JESICA FERNANDA LIU (NPI# 1184157620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184157620
Entity Type Individual
Full Name JESICA FERNANDA LIU
Other Name JESICA FERNANDA RAMIREZ VARGAS
Credential MD
Practice Address 7910 Frost St Ste 230
San Diego
CA 92123-2776
Mailing Address 9500 Gilman Dr # Mc0832
La Jolla
CA 92093-0927
Practice Telephone 8582460053
Practice Fax Number 8584969257
Mailing Telephone 8582460794
Mailing Fax Number 8582460019
Enumeration Date 2017-04-11
Last Update Date 2020-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
A166312 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
326 Callaghan Ave, San Antonio, TX 782101306 2104736291

Office Location

Street Address 7910 FROST ST STE 230
City SAN DIEGO
State CA
Zip Code 92123-2776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326130584 Theodora J Nelson Pediatrics 7910 Frost St Ste 230, San Diego, CA 92123-2776 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
Find all providers in zip 92123

Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083780837 Raymond Macdonald Peterson I Pediatrics 5663 Glenstone Way, San Diego, CA 92121-4332 2006-11-24
1326028192 Chadley Ryan Huebner Pediatrics Naval Medical Center San Diego 34520 Bob Wilson Drive, San Diego, CA 92134 2006-01-18
1710988605 Suzanne D Dixon Pediatrics 7920 Frost St, Ste 200, San Diego, CA 92123-2736 2005-08-02
1760826705 Deborah G Mishek Pediatrics 12625 High Bluff Dr, Suite 302, San Diego, CA 92130-2052 2013-04-22
1174674683 Kristofer Adam Kazlauskas Pediatrics 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 2007-01-13
1871641837 Barbara J. Lounsbury Pediatrics 4647 Zion Ave, San Diego, CA 92120-2507 2007-01-08
1114011624 Sarita Doyle Eastman Pediatrics 12395 El Camino Real, Suite 105, San Diego, CA 92130 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720601222 Development Support Services Pediatrics 43218 Business Park Dr Ste 203, Temecula, CA 92590-3601 2020-05-19
1922659804 Trenna Sutcliffe Md, Apc Pediatrics 851 Fremont Ave Ste 110, Los Altos, CA 94024-5602 2019-09-23
1295117299 Inland Faculty Specialists, A California Professional Corporation Pediatrics 4153 Rubidoux Ave, Riverside, CA 92506-1717 2015-06-25
1891181129 Albert C. Fremont Pediatrics 1405 University Ave, Palo Alto, CA 94301-2245 2015-04-14
1184047722 Hooi Hoon Yeap Pediatrics 820 Elgin St, San Lorenzo, CA 94580-1264 2014-02-03
1558608331 Melissa Harada Pediatrics 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 2013-01-14
1417227554 New Age Enterprises Pediatrics 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 2012-01-06
1225342215 Robert E Nopar Pediatrics 1900 E Los Angeles Ave, Simi Valley, CA 93065-6560 2010-08-02
1134383243 Marianna Eraklis Pediatrics One Camino Sobrante, Suite 208, Orinda, CA 94563 2008-07-17
1982806170 Jennifer Kit-lam Leung Pediatrics 2967 Michelson Dr Ste G, Pmb131, Irvine, CA 92612-8801 2007-06-01
Find all providers with the same taxonomy

Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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Dataset Information

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.

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