Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Katherine Liu, PA-C

Individual provider Physician Assistant · NPI 1801310552

Jamie Katherine Liu, PA-C is a Physician Assistant in Fullerton, California. Qualified in 2017, 9 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2151 N Harbor Blvd Ste 3100
Fullerton, CA 92835-3825
Phone: (714) 446-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55134 (CA)

Record details

NPI number1801310552
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address2151 N Harbor Blvd Ste 3100, Fullerton, CA 92835-3825

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fullerton