NPIMap

Individual provider Active NPI

Fen Liang, M.D.

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1780843953
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A124673 Issued in CA
Practice address
314 E Carrillo St
Suite 7
Santa Barbara, CA 93101-1499
Phone
(805) 886-4370
Fax
(805) 845-8227
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47048 TN
Internal Medicine Physician 207R00000X A124673 CA Primary

Addresses

Primary practice location

314 E Carrillo St
Suite 7
Santa Barbara, CA 93101-1499

Mailing address

PO Box 50706
512 E. Gutierrez St. Ste. C
Santa Barbara, CA 93150-0706
Phone (805) 963-3757

Other identifiers 1

IdentifierTypeStateIssuer
1524320MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140710002591 CA Practitioner - Internal Medicine 1153460993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Medical GroupGroup PAC ID 4284661273, 2 clinicians

Practice addresses (Care Compare)

27 W Micheltorena St
Santa Barbara, CA 93101-2509
Phone (805) 687-1505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124673CAMDInternal Medicine Physician
47048TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Apr 14, 2014 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine Past Accepting new patients

Locations

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

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.

Hospital & facility affiliations 6

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1780843953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "address_2": "512 E. GUTIERREZ ST. STE. C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-3757",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E CARRILLO ST",
            "address_2": "SUITE 7",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011499",
            "telephone_number": "805-886-4370",
            "fax_number": "805-845-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANG",
        "first_name": "FEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "47048",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A124673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524320",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.