SAMUEL LIU DDS
NPI 1447697107
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
11600 WILSHIRE BLVD STE 316, LOS ANGELES, CA 90025(310) 909-6417 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Liu Dds NPPES

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

SAMUEL LIU DDS (NPI 1447697107) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (DDS101334) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Univ Of The Pacific Dugoni School Of Dentistry (2013).

NPPES Registry Identity

NPI1447697107
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSAMUEL LIUCredential: DDS
Location Address11600 WILSHIRE BLVD STE 316Los Angeles, CA 90025
Mailing Address11600 Wilshire Blvd Ste 316Los Angeles, CA 90025-1783
Sole ProprietorNo
Medical School CMSUniv Of The Pacific Dugoni School Of DentistryGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateAugust 17, 2018
NPI 1447697107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · DDS101334
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
11600 WILSHIRE BLVD STE 316, Los Angeles, CA 90025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Liu Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294142246
PECOS Enrollment IDI20210318002121
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Dentist (General Practice)
11600 WILSHIRE BLVD STE 316
LOS ANGELES, CA 90025
Dentist
11600 WILSHIRE BLVD STE 316
LOS ANGELES, CA 90025
Dentist (General Practice)
11600 WILSHIRE BLVD STE 316
LOS ANGELES, CA 90025
Dentist (Orthodontics and Dentofacial Orthopedics)
11600 WILSHIRE BLVD STE 316
LOS ANGELES, CA 90025

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 Samuel Liu's NPI number?

The NPI number for Samuel Liu is 1447697107. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Samuel Liu located?

Samuel Liu practices at 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025. The listed phone number is (310) 909-6417.

What is Samuel Liu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Samuel Liu enrolled in Medicare?

Yes. Samuel Liu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Liu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Samuel Liu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Liu was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.