NPIMap

Individual provider Active NPI

Marisa Tingfeng Liang, PA-C

  • Physician Assistant
  • Gilroy, CA
National Provider Identifier
1154712933
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA186341 Issued in OR
Practice address
9460 N Name Uno
Suite 110
Gilroy, CA 95020-3537
Phone
(408) 729-9700
NPI assigned
Feb 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52295 CA
Physician Assistant 363A00000X PA61234461 WA
Physician Assistant 363A00000X PA186341 OR Primary

Addresses

Primary practice location

9460 N Name Uno
Suite 110
Gilroy, CA 95020-3537

Mailing address

2670 S White Rd
Suite 200
San Jose, CA 95148-2071
Phone (408) 729-4290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, WA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151203003069 CA Practitioner - Physician Assistant 2668772252 Reassigns benefits to 1 organization
I20180403002910 OR Practitioner - Physician Assistant 2668772252 Reassigns benefits to 3 organizations
I20220331001366 WA Practitioner - Physician Assistant 2668772252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Apr 1, 2018 Accepting new patients
Sutter Valley Medical Foundation Physician Assistant CurrentSince Dec 1, 2023 Accepting new patients
Cep America LLC CurrentSince Mar 1, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 30, 2021 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 30, 2021 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Feb 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Oct 24, 2015 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

Interoperability endpoints

  • Direct secure messaging: mliang384207@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1154712933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD",
            "address_2": "SUITE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482071",
            "telephone_number": "408-729-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "address_2": "SUITE 110",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-729-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "MARISA",
        "middle_name": "TINGFENG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52295",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61234461",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA186341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.