Individual provider Active NPI

Zitao Liu, M.D.

  • Obstetrics & Gynecology Physician
  • Fremont, CA
National Provider Identifier
1275709479
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C191057 Issued in CA
Practice address
39277 Liberty St
Fremont, CA 94538-1519
Phone
(341) 248-8826
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C191057 CA Primary
Obstetrics & Gynecology Physician 207V00000X 243462 MA
Obstetrics & Gynecology Physician 207V00000X 277516 NY

Addresses

Primary practice location

39277 Liberty St
Fremont, CA 94538-1519

Mailing address

39277 Liberty St
Fremont, CA 94538-1519
Phone (341) 248-8826

Other practice location 1

4 Columbus Cir Fl 4
New York, NY 10019
Phone (212) 577-7676

Other practice location 2

1650 Grand Concourse
Dept. of OB/GYN
Bronx, NY 10457
Phone (718) 239-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C191057CAMDObstetrics & Gynecology Physician
243462MAMDObstetrics & Gynecology Physician
277516NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zitao Liu, M.D. Professional Corporation Obstetrics & Gynecology CurrentSince Dec 22, 2024 Accepting new patients

Locations

39277 Liberty St
Fremont, CA 94538
Phone (341) 248-8826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1275709479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39277 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519",
            "telephone_number": "341-248-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39277 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519",
            "telephone_number": "341-248-8826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Columbus Cir Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10019",
            "country_code": "US",
            "telephone_number": "212-577-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Grand Concourse",
            "address_2": "Dept. of OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-239-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "ZITAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C191057",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "243462",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "277516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.