Individual provider Active NPI

Collins Liu, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Diego, CA
National Provider Identifier
1851547459
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
A113042 Issued in CA
Practice address
11120 E Ocean Air Dr Ste 101-88
San Diego, CA 92130-4683
Phone
(619) 630-8676
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X A113042 CA
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A113042 CA Primary
Nuclear Medicine Physician 207U00000X A113042 CA

Addresses

Primary practice location

11120 E Ocean Air Dr Ste 101-88
San Diego, CA 92130-4683

Mailing address

11120 E Ocean Air Dr Ste 101-88
San Diego, CA 92130-4683
Phone (619) 630-8676

Other practice location 1

1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315
Phone (323) 442-5710

Other practice location 2

255 N Elm St Ste 205
Escondido, CA 92025-3431
Phone (858) 306-9119

Other names 1

  • Dr. Collin Liu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, OH, TX, NY, FL, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20120723000828 CA Practitioner - NeurologyPractitioner - Nuclear Medicine 4082870860 Reassigns benefits to 3 organizations
Practice locations: San Diego, CA
I20240503000816 VA Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization
I20240507002258 OH Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization
I20240510000451 TX Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization
I20240717003007 NY Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization
I20240717004371 FL Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization
I20240722000735 PA Practitioner - Neurology 4082870860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Demand Neurology PAGroup PAC ID 5890180988, 14 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
On Demand Neurology of Ca PCGroup PAC ID 8224493507, 6 clinicians

Practice addresses (Care Compare)

Austin, TX 78725
Phone (313) 887-0960

10962 W Ocean Air Dr
Apt 1104
San Diego, CA 92130-4642
Phone (619) 630-8676

113 S Monroe St
FL 1
Tallahassee, FL 32301-1529
Phone (408) 507-1061

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

201 Penn Ctr Blvd
Suite 400
Pittsburgh, PA 15235-5441
Phone (408) 507-1061

205 E 42ND St
Suite 1947
New York, NY 10017-5773
Phone (313) 887-0960

4900 California Ave
Suite 210B
Bakersfield, CA 93309-7080
Phone (313) 887-0960

70 Birch Aly
Suite 240
Beavercreek, OH 45440-1477
Phone (408) 507-1061

919 E Main St
Suite 1000
Richmond, VA 23219-4623
Phone (877) 786-0815

Hospital & facility affiliations

  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113042CAMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Neurology of Ca PC Neurology CurrentSince Dec 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Collin Liu, MD, Inc. CurrentSince Apr 22, 2024 Accepting new patients
On Demand Neurology PA Neurology CurrentSince Mar 23, 2024 Accepting new patients

Locations

4900 California Ave
Ste 210B
Bakersfield, CA 93309
Phone (310) 963-0365

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

11120 E Ocean Air Dr
Ste B10188
San Diego, CA 92130
Phone (619) 630-8676

113 S Monroe St
Tallahassee, FL 32301
Phone (408) 507-1061

335 Madison Ave
Fl 3
New York, NY 10017

335 Madison Ave
Fl 4
New York, NY 10017
Phone (561) 693-2509

70 Birch Aly
Ste 240
Dayton, OH 45440
Phone (408) 507-1061

201 Penn Center Blvd
Ste 400
Pittsburgh, PA 15235
Phone (412) 228-0679

501 Congress Ave
Ste 150
Austin, TX 78701
Phone (512) 581-5513

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • Direct secure messaging: collin.liu@329996733775876.direct.elationemr.com
  • Direct secure messaging: cliu285025@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1851547459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 E OCEAN AIR DR STE 101-88",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304683",
            "telephone_number": "619-630-8676",
            "fax_number": "719-249-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 E OCEAN AIR DR STE 101-88",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304683",
            "telephone_number": "619-630-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335315",
            "country_code": "US",
            "telephone_number": "323-442-5710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Elm St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253431",
            "country_code": "US",
            "telephone_number": "858-306-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A113042",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A113042",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A113042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLIN",
            "last_name": "LIU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.