BRIAN LIYANTO – Anesthesiology Physician, NPI 1063867711

BRIAN LIYANTO is a healthcare provider. based in Los angeles, California. specializing in ANESTHESIOLOGY. They hold a License No. A143981 (CA). The NPI Number for BRIAN LIYANTO is 1063867711

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN LIYANTO
NPI
1063867711
Phone
Not provided
Address
2051 MARENGO ST # C4E100
Enumeration Date
2 May 2016
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
3678801560
Group Practice PAC ID
8628318318
Professional Enrollment ID
I20190830001422
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

Provider Addresses for BRIAN LIYANTO

  • 2051 MARENGO ST # C4E100

    LOS ANGELES, CA 900331352

    Phone:

    Type: Mailing

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (626) 574-3540

    Type: Mailing

  • 300 W HUNTINGTON DR

    ARCADIA, CA 910073402

    Phone: (626) 574-3540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: Gilead Sciences, Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$28
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190830001422IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
76942Ultrasonic guidance for needle placement2323$0
00813Anesthesia for procedure on small and large bowel using an endoscope1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
00790Anesthesia for other procedure on upper abdomen1212$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628318318View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

What federal number belongs to BRIAN LIYANTO?
The federal identifier for BRIAN LIYANTO is NPI 1063867711.
Is BRIAN LIYANTO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BRIAN LIYANTO's specialty in plain language?
Clinically, the directory lists BRIAN LIYANTO with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN LIYANTO?
The page summarizes Los Angeles, California for BRIAN LIYANTO; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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