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JESICA FERNANDA LIU MD
NPI 1184157620
Pediatrics - Developmental - Behavioral Pediatrics in San Diego, CA

Active since April 11, 2017PECOS Enrolled
7910 FROST ST STE 230, SAN DIEGO, CA 92123(858) 246-0053(858) 496-9257 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2024, Dec 23, 2021, May 30, 2020 and 1 more (4 updates tracked since 2017).

About Jesica Fernanda Liu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESICA FERNANDA LIU MD (NPI 1184157620) is an individual developmental - behavioral pediatrics provider in San Diego, California, licensed in California (A166312) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1184157620
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameJESICA FERNANDA LIUCredential: MD
Location Address7910 FROST ST STE 230San Diego, CA 92123-2776
Mailing Address9500 Gilman Dr # Mc0832La Jolla, CA 92093-0927 · (858) 246-0794 · Fax (858) 246-0019
Phone(858) 246-0053
Fax(858) 496-9257
Sole ProprietorNo
Enumeration DateApril 11, 2017
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1184157620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · A166312
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7910 FROST ST STE 230, San Diego, CA 92123
Open in Google Maps ↗

Other Names 1

Former Name (1)Jesica Fernanda Ramirez Vargas Md

Secondary Practice Location 1

Location 1326 Callaghan AveSan Antonio, TX 78210-1306 · Phone (210) 473-6291

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesica Fernanda Liu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jesica Liu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
2.3 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044
Family Health Centers Of San Diego Inc
3.4 mi
Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1629456900 (619) 515-2545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THEODORA J NELSON MD
Pediatrics (Developmental - Behavioral Pediatrics)
7910 FROST ST STE 230
SAN DIEGO, CA 92123
San Diego County (858) 246-0053
DIANA ALZATE LCGC
Genetic Counselor, MS
7910 FROST ST STE 230
SAN DIEGO, CA 92123
San Diego County (858) 966-8127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesica Liu's NPI number?

The NPI number for Jesica Liu is 1184157620. It was assigned to this individual provider in the NPPES registry on April 11, 2017. The provider is also known as Jesica Fernanda Ramirez Vargas MD.

Where is Jesica Liu located?

Jesica Liu practices at 7910 Frost St Ste 230, San Diego, CA 92123. The listed phone number is (858) 246-0053.

What is Jesica Liu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Jesica Liu enrolled in Medicare?

Yes. Jesica Liu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesica Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesica Liu reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Family Health Centers Of San Diego Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesica Liu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesica Liu was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.