Organization Active NPI

Henry K. Liao, MD Incorporated

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1285983494
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A100050 Issued in CA
Legal business name
HENRY K. LIAO, MD INCORPORATED
Practice address
1532 Saviers Road
Oxnard, CA 93033-1737
Phone
(805) 483-8211
Fax
(805) 483-2631
NPI assigned
Sep 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Henry K. Liao, M.D.NPI 1144484247
Title
Ceo
Phone
(805) 483-8211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A100050 CA Primary

Addresses

Primary practice location

1532 Saviers Road
Oxnard, CA 93033-1737

Mailing address

1532 Saviers Road
Oxnard, CA 93033-1737
Phone (805) 483-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000061 CA Part B Supplier - Clinic/Group Practice 8921247784 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory

Locations

1532 Saviers Rd
Oxnard, CA 93033
Phone (805) 483-8211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1285983494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 SAVIERS ROAD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930331737",
            "telephone_number": "805-483-8211",
            "fax_number": "805-483-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SAVIERS ROAD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930331737",
            "telephone_number": "805-483-8211",
            "fax_number": "805-483-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY K. LIAO, MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-483-8211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A100050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.