Robin K Lie, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4282 Issued in CA

Practice address

2227 Olympic Blvd
Walnut Creek, CA 94595-1623

Phone

(925) 937-2860

Fax

(925) 937-5565

NPI assigned

Aug 31, 2006

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John W Scivally DPM IncGroup PAC ID 4082794870, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• John W. Scivally, D.P.M Inc

  • Foot & Ankle Surgery Podiatrist
  • Walnut Creek, CA
  • NPI 1639355381
  Medicare reassignment Care Compare group NPD
• Wonsik Bollmann

  dba High Desert Foot & Ankle Clinic

  • Podiatrist
  • Victorville, CA
  • NPI 1134379480
  NPD
• Balanced Physical Therapy & Fitness, PC

  • Physical Therapy Clinic/Center
  • San Bernardino, CA
  • NPI 1093115750
  NPD (past)
• Edmund Gornay PT Inc

  • Physical Therapist
  • Loma Linda, CA
  • NPI 1871995175
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1689785131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2162",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945950162",
            "telephone_number": "415-244-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLYMPIC BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951623",
            "telephone_number": "925-937-2860",
            "fax_number": "925-937-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIE",
        "first_name": "ROBIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia April Liang
• Tsao-Yu Liang, MD
• Xing Liao
• Yungting Liao, MD
• John Roderick Libbey
• Haywon Lieh, MD
• Dao Hue Lieu, PHARM.D
• Lifeease Medical Supplies LLC
• Lightyear Health Clinic California, PC (Lightyear Health)
• David Adrian Lilienstein, MD

• Podiatrist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.

Verify at the official NPI Registry.