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

Kelley Liao, MD

Individual provider Family Medicine Physician · NPI 1053053694

Kelley Liao, MD is a Family Practice in Petaluma, California. Graduated from Texas a & M University System, Hsc, College of Medicine in 2022, 4 years ago. Practices with Regents Univ of California UCSF, a 272-clinician group and offers telehealth. Licensed in California.

Years since qualifying
4
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
CA
In the registry since
2022
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

335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone: (628) 336-5260
Fax: (628) 240-2138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A200873 (CA)

Record details

NPI number1053053694
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address335 S McDowell Blvd, Petaluma, CA 94954-3507

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Regents Univ Of California Ucsf — 272 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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