LILY LIU (PA-C, MMSC) – Physician Assistant, NPI 1144728502

LILY LIU (PA-C, MMSC) is a healthcare provider. based in La palma, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, MMSC. They hold a License No. PA55226 (CA). The NPI Number for LILY LIU (PA-C, MMSC) is 1144728502

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LILY LIU (PA-C, MMSC)
NPI
1144728502
Phone
(714) 670-1340
Address
5451 LA PALMA AVE STE 25
Enumeration Date
31 January 2018
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3237960170
Graduation Year
2017 (9 years ago)
PAC ID
8123566486
Group Practice PAC ID
4789671066
Professional Enrollment ID
I20240817000001
Address ID
CA917546366MO2063XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for LILY LIU (PA-C, MMSC)

  • 5451 LA PALMA AVE STE 25

    LA PALMA, CA 906231730

    Phone: (714) 670-1340

    Type: Mailing

  • 9835, Broadmoor Drive, San Ramon, Contra Costa County, California, 94583, United States

    SAN RAMON, CA 945833134

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 168 Open Payments records for all available years, with a total value of $3,558.

Total Amount is formed as General ($3,558) + Research ($0) + Ownership ($0) = $3,558.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,337).

Total Amount

$3,558

General + Research + Ownership

Payments

168

Total payment records

General Amount

$3,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-08-17

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
I20240817000001IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90623)

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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: 4789671066View full group profile
NameSpecialtyState
Physician AssistantCA
Internal Medicine, RheumatologyCA
R H E U M A T O L O G YCA
-CA
Physician AssistantCA
Physician AssistantCA
Rheumatology, Internal Medicine, Pediatric MedicineCA
R H E U M A T O L O G YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does LILY LIU (PA-C, MMSC) have a public NPI I can cite?
Public records show LILY LIU (PA-C, MMSC) under NPI 1144728502.
Should I treat LILY LIU (PA-C, MMSC) as an active provider?
Patients and plans typically see LILY LIU (PA-C, MMSC) as active in the national extract.
What type of care does LILY LIU (PA-C, MMSC) provide?
LILY LIU (PA-C, MMSC)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LILY LIU (PA-C, MMSC)?
LILY LIU (PA-C, MMSC) is associated with La Palma, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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