JUNGWOO JAMES LIEU DO
NPI 1699330506
Physical Medicine & Rehabilitation in Montclair, CA
About Jungwoo James Lieu Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUNGWOO JAMES LIEU DO (NPI 1699330506) is an individual physical medicine & rehabilitation provider in Montclair, California, licensed in California (20A21260) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Miami, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jungwoo James Lieu Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jungwoo Lieu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, CA 91204
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
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 Jungwoo Lieu's NPI number?
The NPI number for Jungwoo Lieu is 1699330506. It was assigned to this individual provider in the NPPES registry on May 6, 2019.
Where is Jungwoo Lieu located?
Jungwoo Lieu practices at 4828 Cypress St Unit 214, Montclair, CA 91763. The listed phone number is (443) 629-8427.
What is Jungwoo Lieu's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Jungwoo Lieu enrolled in Medicare?
Yes. Jungwoo Lieu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jungwoo Lieu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jungwoo Lieu reassigns Medicare benefits to California Sports And Spine Institute, PC (Glendale, 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 Jungwoo Lieu'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 Jungwoo Lieu was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.