Active NPI
Pei S Liu, MD
- Neurology Physician
- Redlands, CA
National Provider Identifier
1003234550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A139170
- Practice address
- 1839 W Redlands Blvd
Redlands, CA 92373 - Phone
- (951) 785-7190
- Fax
- (951) 688-7246
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | A139170 | CA | |
| Neurology Physician | 2084N0400X | A139170 | CA | Primary |
Addresses
Primary practice location
1839 W Redlands Blvd
Redlands, CA 92373
Mailing address
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone (951) 785-7190
Other practice location 1
4234 Riverwalk Pkwy Ste 280
Riverside, CA 92505-3370
Phone (951) 785-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1839 W Redlands Blvd
Redlands, CA 92373-3118
Phone (951) 785-7190
4234 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-3370
Phone (951) 785-7190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pei.liu.p1@direct.pnsm.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Riverside, CA
- NPI 1124248844
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1003234550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 280",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053370",
"telephone_number": "951-785-7190",
"fax_number": "951-688-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 W REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "951-785-7190",
"fax_number": "951-688-7246"
}
],
"practiceLocations": [
{
"address_1": "4234 Riverwalk Pkwy Ste 280",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925053370",
"country_code": "US",
"telephone_number": "951-785-7190",
"fax_number": "951-688-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "PEI",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2022-09-09",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A139170",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A139170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.