NPIMap

Individual provider Active NPI

Richard Ming-Cheng Liu, MD

  • Otolaryngology Physician
  • La Mesa, CA
National Provider Identifier
1548286453
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C134084 Issued in CA
Practice address
5565 Grossmont Center Dr
BLDG 3, Suite 101
La Mesa, CA 91942
Phone
(619) 464-3353
Fax
(619) 464-6720
NPI assigned
Jul 14, 2006
Last updated
May 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 272111 NY
Otolaryngology Physician 207Y00000X ME0081018 FL
Otolaryngology Physician 207Y00000X C134084 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr
BLDG 3, Suite 101
La Mesa, CA 91942

Mailing address

3907 Waring Rd
Ste 1
Oceanside, CA 92056-4454
Phone (760) 724-8749

Other identifiers 4

IdentifierTypeStateIssuer
7945196OtherAETNA
040016382OtherRAILROAD MEDICARE
5986239003OtherCIGNA
51726OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130000033 CA Practitioner - Otolaryngology 5092862854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates Medical GroupGroup PAC ID 0547279523, 3 clinicians

Practice addresses (Care Compare)

3907 Waring Rd
Suite 1
Oceanside, CA 92056-4405
Phone (760) 724-8749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C134084CAMDOtolaryngology Physician
ME0081018FLMDOtolaryngology Physician
272111NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Mar 22, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Senta Clinic, Inc Otolaryngology CurrentSince May 1, 2018 Accepting new patients
ENT Associates Medical Group Otolaryngology CurrentSince May 11, 2020 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
ENT and Allergy Associates of Florida, LLC Otolaryngology Past Accepting new patients
Southside Head N Neck Surgery Professional Corp Otolaryngology PastSince Mar 25, 1996 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Andrew Marlowe, MD, PA Otolaryngology PastSince Feb 11, 2013 Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

5565 Grossmont Center Dr
Ste 101
La Mesa, CA 91942
Phone (619) 464-3353

3907 Waring Rd
Ste 1
Oceanside, CA 92056
Phone (760) 724-8749

3590 Camino del Rio N
Ste 103
San Diego, CA 92108
Phone (619) 810-1000

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5632fbae-577c-4a2c-bb09-322e166c2db1/
  • Direct secure messaging: richardliu@entaca.allscriptsdirect.net
  • Direct secure messaging: rliu317440@scrippshlth.medalliesdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1548286453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WARING RD",
            "address_2": "STE 1",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "760-724-8749",
            "fax_number": "760-724-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG 3, SUITE 101",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-464-3353",
            "fax_number": "619-464-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "RICHARD",
        "middle_name": "MING-CHENG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "272111",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0081018",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C134084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7945196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040016382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5986239003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.