Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassidy Carina Liu Koo

Individual provider Family Medicine Physician · NPI 1497495535

Cassidy Carina Liu Koo is a Family Practice in Grand Terrace, California. Graduated from Un of California, Riverside, School of Medicine in 2022, 4 years ago. Practices with Riverside-San Bernardino County Indian Health Inc, a 45-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
Un of California, Riverside, School of Medicine
Licensed in
CA
In the registry since
2022

Practice location Address checks out

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone: (909) 864-1097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 190520 (CA)

Record details

NPI number1497495535
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUN OF CALIFORNIA, RIVERSIDE, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Riverside-San Bernardino County Indian Health Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Terrace