Individual provider Active NPI

Jennifer Liu, M. D.

  • Urology Physician
  • Los Alamitos, CA
National Provider Identifier
1669623161
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A99210 Issued in CA
Practice address
3801 Katella Ave Ste 115
Los Alamitos, CA 90720-3359
Phone
(562) 247-0883
Fax
(562) 512-9986
NPI assigned
Oct 2, 2008
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A99210 CA Primary

Addresses

Primary practice location

3801 Katella Ave Ste 115
Los Alamitos, CA 90720-3359

Mailing address

3801 Katella Ave Ste 115
Los Alamitos, CA 90720-3359
Phone (562) 247-0883

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000675 CA Practitioner - Urology 2062690894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Massachusetts Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 115
Los Alamitos, CA 90720-3359
Phone (562) 247-0883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Liu MD Inc Apc Urology CurrentSince Apr 1, 2021 Accepting new patients
Southern California Urology Medical Group Urology PastSince Nov 7, 2012 Accepting new patients

Locations

6226 E Spring St
Ste 260
Long Beach, CA 90815
Phone (562) 283-4876

3801 Katella Ave
Ste 115
Los Alamitos, CA 90720
Phone (310) 375-8446

Interoperability endpoints

  • Direct secure messaging: jennifer.liu@7902796775428.direct.elationemr.com
  • Direct secure messaging: jliu175446@direct.memorialcare.org

Organizations & group practices 2

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 6

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1669623161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 115",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203359",
            "telephone_number": "562-247-0883",
            "fax_number": "562-512-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 115",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203359",
            "telephone_number": "562-247-0883",
            "fax_number": "562-512-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A99210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.