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JONATHAN LIU MD, MPH
NPI 1710516174
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027(323) 361-3849 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About Jonathan Liu Md, Mph NPPES

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

JONATHAN LIU MD, MPH (NPI 1710516174) is an individual psychiatry provider in Los Angeles, California, licensed in California (A187360) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berkeley, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710516174
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJONATHAN LIUCredential: MD, MPH
Location Address4650 W SUNSET BLVD # 53Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # 53Los Angeles, CA 90027-6062 · (323) 361-3849
Phone(323) 361-3849
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1710516174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A187360
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4650 W SUNSET BLVD # 53, Los Angeles, CA 90027
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Milvia StBerkeley, CA 94704-2636 · Phone (510) 903-9089 · Fax (510) 903-9089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Liu Md, Mph 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 ID2668961848
PECOS Enrollment IDI20251028003817
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 Jonathan Liu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
317 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121

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 90027 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 20

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

JUN HYUK PARK
Social Worker (Clinical)
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (909) 533-7044
MARIA ELAINE ALONZO
Marriage & Family Therapist
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
CAROLINA BARBEITO
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
ELISA AMPARO
Registered Nurse (Case Management)
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2350
ALICE M PERCHES
Case Manager/Care Coordinator
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
KATAYOUN YAZDI-NEJAD MD
Psychiatry & Neurology (Psychiatry)
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
TIA TYNDAL M.A.
Psychologist
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
SAIRAM KUMAR
Pediatrics (Developmental - Behavioral Pediatrics)
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849

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 Jonathan Liu's NPI number?

The NPI number for Jonathan Liu is 1710516174. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Jonathan Liu located?

Jonathan Liu practices at 4650 W Sunset Blvd # 53, Los Angeles, CA 90027. The listed phone number is (323) 361-3849.

What is Jonathan Liu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jonathan Liu enrolled in Medicare?

Yes. Jonathan 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.

Which organization bills Medicare for Jonathan Liu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Liu reassigns Medicare benefits to Sutter Bay Medical Foundation (Palo Alto, 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 Jonathan 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 Jonathan Liu was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.