Individual provider Active NPI

Ming Zhao Liu, MD

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1689170920
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A166167 Issued in CA
Practice address
1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231
Phone
(714) 509-8210
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A166167 CA Primary

Addresses

Primary practice location

1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231

Mailing address

1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231
Phone (714) 509-8210

Other practice location 1

170 S Main St
Orange, CA 92868-2843
Phone (714) 288-7662

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
I20200623002145 CA Practitioner - Psychiatry 3173945086 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166167CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca CurrentSince Jul 1, 2022 Accepting new patients
Children'S Hospital of Orange County CurrentSince Oct 1, 2023 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2022 Accepting new patients
Bay Psychiatric Associates Psychiatry CurrentSince Aug 15, 2020 Accepting new patients

Locations

2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

1120 W La Veta Ave
Ste 660470
Orange, CA 92868
Phone (714) 501-2046

1120 W La Veta Ave
Ste 660
Orange, CA 92868
Phone (714) 509-8210

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1689170920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660&470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-509-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660&470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-509-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 S Main St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682843",
            "country_code": "US",
            "telephone_number": "714-288-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "MING",
        "middle_name": "ZHAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A166167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.