Active NPI
Miguel Angel Liquidano Chenal, AU.D
- Electroneurodiagnostic Specialist/Technologist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- AU3786
- Practice address
- 24 S Weber St Ste 200
Colorado Springs, CO 80903-1928 - Phone
- (866) 226-8576
- NPI assigned
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | AU3786 | CA | Primary |
Addresses
Primary practice location
24 S Weber St Ste 200
Colorado Springs, CO 80903-1928
Mailing address
21641 Canada Rd Apt 19L
Lake Forest, CA 92630-2774
Phone (334) 559-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
431 S Batavia St
Suite 200
Orange, CA 92868-3937
Phone (714) 516-9570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3786 | CA | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1245 Wilshire Blvd
Ste 480
Los Angeles, CA 90017
431 S Batavia St
Ste 200
Orange, CA 92868
Phone (714) 516-9570
Organizations & group practices 3
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.
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- NPI 1609233899
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- Internal Medicine Physician
- Los Angeles, CA
- NPI 1194394064
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1760203400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21641 CANADA RD APT 19L",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302774",
"telephone_number": "334-559-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 S WEBER ST STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031928",
"telephone_number": "866-226-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIQUIDANO CHENAL",
"first_name": "MIGUEL ANGEL",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CA",
"license": "AU3786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.