Active NPI
Zitao Liu, M.D.
- Obstetrics & Gynecology Physician
- Fremont, CA
National Provider Identifier
1275709479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C191057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C191057 | CA | MD | Obstetrics & Gynecology Physician |
| 243462 | MA | MD | Obstetrics & Gynecology Physician |
| 277516 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zitao Liu, M.D. Professional Corporation | Obstetrics & Gynecology | Current | 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.
-
- Obstetrics & Gynecology Physician
- Fremont, CA
- NPI 1699583765
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.