CARSON D LIU, MD, MEDCORP
NPI 1770721235
Surgery in Los Angeles, CA
About Carson D Liu, Md, Medcorp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARSON D LIU, MD, MEDCORP (NPI 1770721235) is a healthcare organization registered as a surgery in Los Angeles, California and active in the NPI registry since January 2009. The organization lists Carson Liu, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carson D Liu, Md, Medcorp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carson D Liu, MD, Medcorp, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Carson D Liu, MD, Medcorp's NPI number?
The NPI number for Carson D Liu, MD, Medcorp is 1770721235. It was assigned to this organization in the NPPES registry on January 21, 2009.
Where is Carson D Liu, MD, Medcorp located?
Carson D Liu, MD, Medcorp is located at 10921 Wilshire Blvd Ste 1111, Los Angeles, CA 90024. The listed phone number is (310) 208-0474.
What is Carson D Liu, MD, Medcorp's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Carson D Liu, MD, Medcorp enrolled in Medicare?
Yes. Carson D Liu, MD, Medcorp is registered in the Medicare PECOS enrollment system.
When is Carson D Liu, MD, Medcorp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Carson D Liu, MD, Medcorp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Carson D Liu, MD, Medcorp. 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 Carson D Liu, MD, Medcorp was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Carson D Liu, Md, Medcorp · NPI 1770721235
Surgery organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 21, 2009.
## Identity
- **NPI:** 1770721235 (Entity type: Organization)
- **Enumerated:** January 21, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Carson Liu, OWNER/PROVIDER
## Practice location
- **Address:** 10921 WILSHIRE BLVD STE 1111, Los Angeles, CA 90024-4005
- **Phone:** (310) 208-0474 · **Fax:** (310) 208-0374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2009
- **Other identifiers:** Medicare UPIN G68616 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770721235) · Data from the CMS NPPES public registry.