Active NPI
Henry C Liu, M.D.
- Anesthesiology Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 871521
- Practice address
- 3901 Lone Tree Way
Antioch, CA 94509 - Phone
- (925) 779-7274
- Fax
- (925) 779-3026
- NPI assigned
- Apr 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 871521 | CA | Primary |
Addresses
Primary practice location
3901 Lone Tree Way
Antioch, CA 94509
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (925) 779-7274
Other practice location 1
60 MDG/SGHQ
101 Bodin Circle
Travis AFB, CA 94535
Phone (240) 888-9050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A91763 | Other | CA | STATE MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 756-1192
Hospital & facility affiliations
- Sutter Delta Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871521 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
#1112
Palo Alto, CA 94301
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- hliu154356@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Anesthesiology
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Multi-Specialty Clinic/Center
- Orinda, CA
- NPI 1366898538
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1669697892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "925-779-7274",
"fax_number": "925-779-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-779-7274",
"fax_number": "925-779-3026"
}
],
"practiceLocations": [
{
"address_1": "60 MDG/SGHQ",
"address_2": "101 Bodin Circle",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "94535",
"country_code": "US",
"telephone_number": "240-888-9050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIU",
"first_name": "HENRY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-14",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "871521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A91763",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.