Individual provider Active NPI

Shannon Nicole Liang, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sacramento, CA
National Provider Identifier
1477840734
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A141133 Issued in CA
Practice address
1625 Stockton Blvd Ste 205
Sacramento, CA 95816-7092
Phone
(916) 262-9035
Fax
(916) 262-9035
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A141133 CA Primary

Addresses

Primary practice location

1625 Stockton Blvd Ste 205
Sacramento, CA 95816-7092

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

726 N Medical Center Dr E Ste 209
Clovis, CA 93611-6886
Phone (559) 325-5656

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825000147 CA Practitioner - Neurology 3476848706 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141133CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Aug 1, 2023 Accepting new patients
Regents of the University of Ca CurrentSince Aug 1, 2016 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince Jun 7, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 1, 2016 Accepting new patients
Clovis Community Medical Center CurrentSince Jun 7, 2024 Accepting new patients
University of California, Davis Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

726 N Medical Center Dr E
Ste 209
Clovis, CA 93611
Phone (559) 325-5568

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 3700
Sacramento, CA 95817
Phone (916) 734-3514

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

100 N Wiget Ln
Ste 150
Walnut Creek, CA 94598
Phone (855) 420-2612

Organizations & group practices 10

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1477840734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 STOCKTON BLVD STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167092",
            "telephone_number": "916-262-9035",
            "fax_number": "916-262-9035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Medical Center Dr E Ste 209",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116886",
            "country_code": "US",
            "telephone_number": "559-325-5656",
            "fax_number": "559-325-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIANG",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A141133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.