NPIMap

Livingstone Community Development Corporation

A Medicare group practice based in Stanton, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9931323706), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931323706The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20140724002386 CA Part B Supplier - Clinic/Group Practice 1952662686
O20171130003292 CA Part A Provider - Federally Qualified Health Center (FQHC) 1952662686

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (2).

Sources for this page