Active NPI
Fangluo Liu, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A53049
- Practice address
- 6501 Truxtun Ave
Bakersfield, CA 93309-0633 - Phone
- (661) 322-2206
- Fax
- (661) 327-7027
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A53049 | CA | Primary |
Addresses
Primary practice location
6501 Truxtun Ave
Bakersfield, CA 93309-0633
Mailing address
10710 Harpenden Ave
Bakersfield, CA 93311-3517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A53049 | Other | CA | LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050628001370 | CA | Practitioner - Pathology | 0042256208 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Valley Pathology Associates
Practice addresses (Care Compare)
420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 327-4647
Hospital & facility affiliations
- Bakersfield Memorial Hospital
- Adventist Health Bakersfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53049 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kern County Hospital Authority | Current | Accepting new patients | |
| South Valley Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Kern County Hospital Authority | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bakersfield, CA
- NPI 1003960139
Anatomic Pathology & Clinical Pathology, CA
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1336668284
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1124015656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 HARPENDEN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090633",
"telephone_number": "661-322-2206",
"fax_number": "661-327-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "FANGLUO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A53049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A53049",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.