Scott Lieberman, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G58630 Issued in CA

Practice address

15466 Los Gatos Blvd
Ste 109-280
Los Gatos, CA 95032-2542

Phone

(408) 358-0334

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Virtual Radiologic Professionals of California, P.a

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1881792166

  CA

  Medicare reassignment NPD
• Bayo Inc

  • Diagnostic Ultrasound Physician
  • San Jose, CA
  • NPI 1508879750

  Diagnostic Radiology

  NPD
• Mirage Imaging Professional Corporation

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Los Gatos, CA
  • NPI 1902268733
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1679679179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD",
            "address_2": "STE 109-280",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-358-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD",
            "address_2": "STE 109-280",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-358-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G58630",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G3556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Lhotsky, DPT
• Duan Li, L.AC.
• Tengfei Li
• Chung H Liao, M.D.
• Wennie Liao, MD
• Lifeteam Health
• Lighthouse Psychotherapy Services Corp.
• Christine Lim
• Timothy James Lim
• Joshua Limlingan, PT, DPT, OCS

• Diagnostic Radiology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.