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SAMUEL LIU, M.D. INC.
NPI 1528211679
Internal Medicine - Nephrology in Downey, CA

Active since November 01, 2008
11480 BROOKSHIRE AVE STE 105, DOWNEY, CA 90241(562) 862-0804(562) 862-8184 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Jul 14, 2021 (2 updates tracked since 2021).

About Samuel Liu, M.d. Inc. NPPES

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

SAMUEL LIU, M.D. INC. (NPI 1528211679) is a healthcare organization registered as a nephrology in Downey, California and active in the NPI registry since November 2008. The organization maintains a secondary practice location in Pomona and lists Samuel S Liu, President/ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1528211679
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAMUEL LIU, M.D. INC.
Location Address11480 BROOKSHIRE AVE STE 105Downey, CA 90241-5020
Mailing Address1122 Volante DrArcadia, CA 91007-6052 · (951) 231-0738 · Fax (626) 698-4515
Phone(562) 862-0804
Fax(562) 862-8184
Organization SubpartNo
Authorized OfficialSamuel S LiuPresident/ceo/cfo · (951) 231-0738
Enumeration DateNovember 1, 2008
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1528211679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A74056
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
11480 BROOKSHIRE AVE STE 105, Downey, CA 90241
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 W Bonita Ave Ste 140Pomona, CA 91767-1866 · Phone (951) 231-0738 · Fax (626) 698-4515

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Liu, M.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel Liu, M.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Samuel Liu, MD
Nephrology
NPI 1912935628
11480 BROOKSHIRE AVE STE 105
Downey, CA 90241
(562) 862-8184
✔ PECOS✔ Accepts MedicareSame address

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

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, M.D. Inc.'s NPI number?

The NPI number for Samuel Liu, M.D. Inc. is 1528211679. It was assigned to this organization in the NPPES registry on November 1, 2008.

Where is Samuel Liu, M.D. Inc. located?

Samuel Liu, M.D. Inc. is located at 11480 Brookshire Ave Ste 105, Downey, CA 90241. The listed phone number is (562) 862-0804.

What is Samuel Liu, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Samuel Liu, M.D. Inc. enrolled in Medicare?

Yes. Samuel Liu, M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuel Liu, M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Samuel Liu, M.D. Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Liu, M.D. Inc. was last updated on June 10, 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.