Jennifer Juo Tzu Liu, DDS MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

OMS75 Issued in CA

Practice address

1700 Pennsylvania Ave
Ste a
Fairfield, CA 94533-3588

Phone

(707) 422-6020

Fax

(707) 422-7228

NPI assigned

Sep 12, 2007

Last updated

Jun 10, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1922293935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "address_2": "STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333588",
            "telephone_number": "707-422-6020",
            "fax_number": "707-422-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PENNSYLVANIA AVE",
            "address_2": "STE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333588",
            "telephone_number": "707-422-6020",
            "fax_number": "707-422-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JENNIFER",
        "middle_name": "JUO TZU",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS75",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A99211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anne Lippincott
• Jacob David Lippman, LMFT
• Nathan Andrew List, DPT
• Shania Little
• Benjamin Leo Liu, D.O.
• Richard Livingston Jr.
• Leeza Lizana
• Lizz Non Emergency Transportation
• Bianca Llamas
• Paola Llanas

• Oral & Maxillofacial Surgery (D.M.D.) in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.