Active NPI
Grace S Liu, M.D.
- MOHS-Micrographic Surgery Physician
- Newport Beach, CA
National Provider Identifier
1477564128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A061446
- 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.
-
- MOHS-Micrographic Surgery Physician
- Newport Beach, CA
- NPI 1861656563
CA, Mohs-Micrographic Surgery
-
- Dermatology Physician
- Santa Ana, CA
- NPI 1568730885
-
- MOHS-Micrographic Surgery Physician
- Newport Beach, CA
- NPI 1063608107
Mohs-Micrographic Surgery
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
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 100
- Quality
- 96.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1111 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 330 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A061446 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Liu MD Inc | Current | Accepting new patients | |
| Grace S Liu, M D Inc | Mohs-Micrographic Surgery | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A061446 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16839 | Other | CA | MEDICARE 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.