Individual provider Active NPI

Carolina Chong Liao

  • Physician Assistant
  • Mountain View, CA
National Provider Identifier
1225805666
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63988 Issued in CA
Practice address
2490 Hospital Dr Ste 210
Mountain View, CA 94040-4117
Phone
(408) 871-3400
NPI assigned
Dec 6, 2023
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63988 CA Primary

Addresses

Primary practice location

2490 Hospital Dr Ste 210
Mountain View, CA 94040-4117

Mailing address

973 University Ave
Los Gatos, CA 95032-7636
Phone (408) 871-3200

Other practice location 1

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 853-5745

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426003487 CA Practitioner - Physician Assistant 9931549789 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

2490 Hospital Dr
Mountain View, CA 94040-4117
Phone (650) 962-4321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA63988CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Feb 16, 2026 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 16, 2024 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
El Camino Health Medical Group PastSince Sep 8, 2019 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations (25 of 28)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

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

2490 Hospital Dr
Ste 109
Mountain View, CA 94040
Phone (650) 404-8250

2490 Hospital Dr
Ste 210
Mountain View, CA 94040
Phone (650) 962-4321

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

Interoperability endpoints

  • Direct secure messaging: cchongliao683276@hisp.ehr.sutterhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1225805666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 UNIVERSITY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327636",
            "telephone_number": "408-871-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR STE 210",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404117",
            "telephone_number": "408-871-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Trousdale Dr",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104506",
            "country_code": "US",
            "telephone_number": "650-853-5745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHONG LIAO",
        "first_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.