David Shangkang Liao, M.D.,PH.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A112736 Issued in CA

Practice address

1245 Wilshire Blvd Ste 380
Los Angeles, CA 90017-4886

Phone

(213) 483-8810

Fax

(213) 975-9118

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Vitreous Associates Medical GroupGroup PAC ID 5799769584, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina-Vitreous Associates Medical Group PC

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1134164023
  Medicare reassignment Care Compare group NPD
• Dan K Sakamoto M D Medical Corp

  • Ophthalmology Physician
  • Torrance, CA
  • NPI 1225250103
  NPD (past)
• The Oncology Institute Ca, a Professional Corporation

  • Hematology & Oncology Physician
  • Downey, CA
  • NPI 1275651515
  NPD (past)
• John Gurley, MD, PC

  • Ophthalmology Physician
  • Manchester, MA
  • NPI 1417058611
  NPD (past)
• John Gurley, MD, PC

  • Ophthalmology Physician
  • Manchester, MA
  • NPI 1942601638
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1962541847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174886",
            "telephone_number": "213-483-8810",
            "fax_number": "213-975-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174886",
            "telephone_number": "213-483-8810",
            "fax_number": "213-975-9118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 S Central Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042583",
            "country_code": "US",
            "telephone_number": "818-797-4870",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Fair Oaks Ave Ste 407",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052562",
            "country_code": "US",
            "telephone_number": "626-204-1410",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12840 Riverside Dr Ste 333",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916073386",
            "country_code": "US",
            "telephone_number": "818-754-2090",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Wilshire Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111841",
            "country_code": "US",
            "telephone_number": "310-854-6201",
            "fax_number": "213-975-9118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIAO",
        "first_name": "DAVID",
        "middle_name": "SHANGKANG",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "231238",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74423Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W3452",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141892",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Liao
• Albert Liao, MD, MS
• Allen Liao, PHD
• Andrew Best Liao
• Connie Liao, MD
• Edward Regan Liao, MD
• Jim Liao, PA
• Judy Chia-Ti Liao, O.D.
• Kelly Yu Chien Liao, OTR
• Lucy Pei-Ju Liao, M.D.

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.