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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY YEN-TING LIU
NPI 1265172282
Dermatology in Santa Rosa, CA

Active since March 29, 2022PECOS Enrolled
3883 AIRWAY DR STE 203, SANTA ROSA, CA 95403(707) 573-5425 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey Yen-ting Liu NPPES

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

JEFFREY YEN-TING LIU (NPI 1265172282) is an individual dermatology provider in Santa Rosa, California, licensed in California (A206659) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265172282
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJEFFREY YEN-TING LIU
Location Address3883 AIRWAY DR STE 203Santa Rosa, CA 95403-1671
Mailing Address3883 Airway Dr Ste 203Santa Rosa, CA 95403-1671 · (707) 521-7760
Phone(707) 573-5425
Sole ProprietorNo
Enumeration DateMarch 29, 2022
Last NPPES UpdateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1265172282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A206659
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3883 AIRWAY DR STE 203, Santa Rosa, CA 95403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Yen-ting Liu 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 Reassignment

Medicare enrollment records show Jeffrey Liu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
52 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MRS. BONNIE JEAN KERR M.D.
Dermatology
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760
DR. ROBERT AN-KUO LEE MD, PHD
Dermatology (Dermatopathology)
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760
JENNIFER FREEMAN
Dermatology
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760
DIANA SANTO DOMINGO M.D.
Dermatology
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-4495

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 Jeffrey Liu's NPI number?

The NPI number for Jeffrey Liu is 1265172282. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Jeffrey Liu located?

Jeffrey Liu practices at 3883 Airway Dr Ste 203, Santa Rosa, CA 95403. The listed phone number is (707) 573-5425.

What is Jeffrey Liu's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jeffrey Liu enrolled in Medicare?

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

Which organization bills Medicare for Jeffrey Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Liu reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, CA). The 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 Jeffrey 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 Jeffrey Liu was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.