Individual provider Active NPI

Michael Liu, MD

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1265887202
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A151078 Issued in CA
Practice address
504 W Pueblo St Ste 102
Santa Barbara, CA 93105-6211
Phone
(805) 682-6455
Fax
(805) 687-1480
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A151078 CA Primary

Addresses

Primary practice location

504 W Pueblo St Ste 102
Santa Barbara, CA 93105-6211

Mailing address

2285 Corporate Cir Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Other practice location 1

8700 Beverly Blvd
#5512
West Hollywood, CA 90048-1804
Phone (310) 423-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220216002169 CA Practitioner - Dermatology 7810380730 Reassigns benefits to 1 organization
I20241231002824 GA Practitioner - Dermatology 7810380730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Consultants PCGroup PAC ID 0941276141, 4 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 211
Atlanta, GA 30327-4100
Phone (404) 351-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of tissue1-10
Removal of skin lesions53
Removal of skin cancer732
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151078CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants, P.C. Dermatology CurrentSince Jul 22, 2024 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Feb 1, 2022 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

504 W Pueblo St
Ste 102
Santa Barbara, CA 93105
Phone (805) 682-3329

116 S Palisade Dr
Ste 208
Santa Maria, CA 93454
Phone (805) 347-2100

3280 Howell Mill Rd NW
Ste 101
Atlanta, GA 30327
Phone (404) 351-7546

3280 Howell Mill Rd NW
Ste 211
Atlanta, GA 30327
Phone (404) 351-7546

4151 Hospital Dr NE
Covington, GA 30014
Phone (404) 351-7546

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Interoperability endpoints

  • Direct secure messaging: michael.liu@westderm.emadirect.md
  • Direct secure messaging: mliu@directaddress.net
  • Direct secure messaging: mliu2@directaddress.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1265887202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST STE 102",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-682-6455",
            "fax_number": "805-687-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_2": "#5512",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A151078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.