Individual provider Active NPI

Teresa Hsueh Liao, MD

  • Anesthesiology Physician
  • Stockton, CA
National Provider Identifier
1407896335
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C50522 Issued in CA
Practice address
1800 N California St
Stockton, CA 95204-6019
Phone
(209) 943-2000
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J4894 TX
Anesthesiology Physician 207L00000X C50522 CA Primary

Addresses

Primary practice location

1800 N California St
Stockton, CA 95204-6019

Mailing address

2100 Powell St
Ste 900
Emeryville, CA 94608-1844
Phone (510) 851-7446

Other identifiers 1

IdentifierTypeStateIssuer
00C505220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ, TX, VA, DC, MD6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20060117000589 CA Practitioner - Anesthesiology 3678597721 Reassigns benefits to 1 organization
I20191029002921 NJ Practitioner - Anesthesiology 3678597721 Reassigns benefits to 1 organization
I20200210001936 TX Practitioner - Anesthesiology 3678597721 Reassigns benefits to 1 organization
I20201218002147 VA Practitioner - Anesthesiology 3678597721 Reassigns benefits to 3 organizations
I20220829000028 DC Practitioner - Anesthesiology 3678597721 Reassigns benefits to 3 organizations
I20240506000017 MD Practitioner - Anesthesiology 3678597721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (434) 654-5000

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-1000

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50522CAMDGeneral Practice Dentistry
C50522CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Anesthesia Services of Practice Associates, PA Anesthesiology CurrentSince Apr 26, 2021 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Nov 2, 2020 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Dec 24, 2019 Accepting new patients
Northstar Anesthesia of Maryland LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince May 16, 2022 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Feb 28, 2023 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Feb 24, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
North American Partners in Anesthesia of New Jersey LLC Anesthesiology CurrentSince Sep 7, 2019 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince May 16, 2022 Accepting new patients
Reston Anesthesia Associates, PC Anesthesiology CurrentSince Sep 6, 2023 Accepting new patients
Anesthesiology Consultants Medical Group, Inc. Anesthesiology Past Accepting new patients
Delta Radiology, Inc. Past Accepting new patients

Locations (25 of 30)

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

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

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

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

36 W Yokuts Ave
Ste 3
Stockton, CA 95207
Phone (209) 952-1189

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

Organizations & group practices 17

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 17

Hospital & facility affiliations 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1407896335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081844",
            "telephone_number": "510-851-7446",
            "fax_number": "510-879-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-943-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "TERESA",
        "middle_name": "HSUEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J4894",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C50522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C505220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.