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

Jim Liao, PA

Individual provider Surgical Physician Assistant · NPI 1023033552

Jim Liao, PA is a Physician Assistant in Los Angeles, California. Qualified in 2002, 24 years ago. Practices with The Regents of the University of California, a 45-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Medical Plz Ste 400
Los Angeles, CA 90095-0001
Phone: (310) 825-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA16667 (CA)
Surgery Physician Taxonomy 208600000X · Licence PA16667 (CA)

Record details

NPI number1023033552
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 26, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice The Regents Of The University Of California — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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