SAMUEL S LIU (MD) – Nephrology Physician, NPI 1912935628

SAMUEL S LIU (MD) is a healthcare provider. based in Pomona, California. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. A74056 (CA). The NPI Number for SAMUEL S LIU (MD) is 1912935628

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL S LIU (MD)
NPI
1912935628
Phone
(951) 231-0738
Address
210 W Bonita Ave Ste 140
Enumeration Date
29 June 2006
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9512316052
Graduation Year
1998 (28 years ago)
PAC ID
7618997925
Professional Enrollment ID
I20051201000591
Address ID
CA917671866PO210XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

Provider Addresses for SAMUEL S LIU (MD)

  • 210 W Bonita Ave Ste 140

    Pomona, CA 917671866

    Phone: (951) 231-0738

    Fax: (626) 698-4515

    Type: Location

  • 160, East Artesia Street, Pomona, Los Angeles County, California, 91767, United States

    SUITE 225

    POMONA, CA 917672900

    Phone: (951) 231-0738

    Fax: (626) 698-4515

    Type: Location

  • Pomona Post Office, West Monterey Avenue, Edison Historic District, Pomona, Los Angeles County, California, 91766, United States

    POMONA, CA 917692306

    Phone: (626) 337-2265

    Fax: (626) 337-6625

    Type: Mailing

  • 11480 BROOKSHIRE AVE STE 302

    DOWNEY, CA 902415024

    Phone: (562) 862-8184

    Fax: (562) 862-8184

    Type: Location

  • 1122 VOLANTE DR

    ARCADIA, CA 910076052

    Phone: (951) 231-0738

    Fax: (626) 337-6625

    Type: Mailing

  • 11480 BROOKSHIRE AVE STE 105

    DOWNEY, CA 902415020

    Phone: (562) 862-8184

    Fax: (562) 862-8184

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $404.

Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($152).

Total Amount

$404

General + Research + Ownership

Payments

20

Total payment records

General Amount

$404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051201000591INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes516111$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)39170$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)24647$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes11385$0
99213Established patient office or other outpatient visit, 20-29 minutes9161$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Reviews

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Frequently asked questions

What unique ID ties claims to SAMUEL S LIU (MD)?
NPI 1912935628 is assigned to SAMUEL S LIU (MD) under the national enumeration system.
Is SAMUEL S LIU (MD) currently active in the NPI registry?
CMS-published data lists SAMUEL S LIU (MD) as an active registrant.
What kind of provider is SAMUEL S LIU (MD)?
The page reflects Nephrology Physician for SAMUEL S LIU (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SAMUEL S LIU (MD)?
The snapshot lists Pomona, California for SAMUEL S LIU (MD); download NPPES for the complete set.
Is SAMUEL S LIU (MD) a real provider?
This page reflects official NPPES data for NPI 1912935628. Always confirm identity and privileges with the practice and licensing boards.

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SAMUEL LIU, M.D. INC.

Nephrology Physician
210 W Bonita Ave Ste 140
NPI: 1528211679