Active NPI
Corinna Liu, D.O.
- Gynecologic Oncology Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 20A13154
- Practice address
- 290 N Wayte LN
Fresno, CA 93701-2124 - Phone
- (559) 459-5755
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A13154 | CA | |
| Gynecologic Oncology Physician | 207VX0201X | 20A13154 | CA | Primary |
Addresses
Primary practice location
290 N Wayte LN
Fresno, CA 93701-2124
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2210 E Illinois Ave
Suite 406
Fresno, CA 93701-2184
Phone (559) 486-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13154 | CA | MD | Obstetrics & Gynecology Physician |
| 13154 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Women'S Health Medical Group, Inc | Current | Accepting new patients | |
| Omni Womens Health Medical Group Inc | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1530 Shaw Ave
Clovis, CA 93611
Phone (559) 323-9133
2137 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 466-7100
2137 Herndon Ave
Clovis, CA 93611
2210 E Illinois Ave
Ste 201
Fresno, CA 93701
Phone (559) 266-2496
3812 N 1st St
Fresno, CA 93726
Phone (559) 226-2722
2550 Merced St
Fresno, CA 93721
Phone (209) 233-2116
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2210 E Illinois Ave
Ste 406
Fresno, CA 93701
Phone (559) 313-9959
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2944 Fresno St
Fresno, CA 93721
Phone (559) 497-7900
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Gynecology Physician
- Fresno, CA
- NPI 1396721197
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1891997813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1083972426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 N WAYTE LN",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012124",
"telephone_number": "559-459-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "CORINNA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-23",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A13154",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "20A13154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.