Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Scott Lieberman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013650951

Dr. Ethan Scott Lieberman, MD is a Hospitalist in Ventura, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

147 N Brent St
Ventura, CA 93003-2809
Phone: (818) 719-2706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Vcuhs Department Of Internal Medicine Residency, Richmond, VA 23298-0257 — (804) 828-9783

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0116036266 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013650951
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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