Individual provider Active NPI

Grace S Liu, M.D.

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1477564128
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A061446 Issued in CA
Practice address
3991 Macarthur Blvd
Suite 228
Newport Beach, CA 92660-3058
Phone
(949) 863-0988
Fax
(949) 863-0088
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3991 Macarthur Blvd
Suite 228
Newport Beach, CA 92660-3058

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as individual
Quality
96.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1111
Removal or shaving of skin growth1-10
Skin biopsy330

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040128000236 CA Practitioner - Dermatology 9335042456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A061446CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Liu MD Inc CurrentSince Jul 1, 1999 Accepting new patients
Grace S Liu, M D Inc Mohs-Micrographic Surgery CurrentSince Sep 8, 2003 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Newport Coast Dermatology Mohs-Micrographic Surgery Past Accepting new patients

Locations

3991 MacArthur Blvd
Ste 228
Newport Beach, CA 92660
Phone (949) 863-0988

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A061446 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3991 Macarthur Blvd
Suite 228
Newport Beach, CA 92660-3058

Mailing address

3991 Macarthur Blvd
Suite 228
Newport Beach, CA 92660-3058
Phone (949) 863-0988

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
W16839OtherCAMEDICARE GROUP NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2007.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1477564128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 MACARTHUR BLVD",
            "address_2": "SUITE 228",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603058",
            "telephone_number": "949-863-0988",
            "fax_number": "949-863-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 MACARTHUR BLVD",
            "address_2": "SUITE 228",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603058",
            "telephone_number": "949-863-0988",
            "fax_number": "949-863-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "GRACE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A061446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W16839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.