Active NPI
Collins Liu, MD
- Behavioral Neurology & Neuropsychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- License
- A113042
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA, OH, TX, NY, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
- Usc Kenneth Norris Jr Cancer Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113042 | CA | MD | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Demand Neurology of Ca PC | Neurology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Collin Liu, MD, Inc. | Current | Accepting new patients | |
| On Demand Neurology PA | Neurology | Current | 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
- collin.liu@329996733775876.direct.elationemr.com
- 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.
-
- Medical Specialty Clinic/Center
- San Diego, CA
- NPI 1518712702
-
- Neurology Physician
- Bakersfield, CA
- NPI 1902553886
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.