NPIMap

Organization Active NPI

Livingston Community Health Services

Doing business as Livingston Medical Group

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
National Provider Identifier
1013195221
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LIVINGSTON COMMUNITY HEALTH SERVICES
Doing business as
Livingston Medical Group
Practice address
1140 Main St
Livingston, CA 95334-1257
Phone
(209) 394-7075
Fax
(209) 394-3660
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Aurora Garcia
Title
Ceo
Phone
(209) 394-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1140 Main St
Livingston, CA 95334-1257

Mailing address

1140 Main St
Livingston, CA 95334-1257
Phone (209) 394-7075

Other identifiers 1

IdentifierTypeStateIssuer
EAP03897FOtherCAEXPANDED ACCESS FOR PRIMA

Other names 1

  • LIVINGSTON MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Livingston Community Health10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1013195221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7075",
            "fax_number": "209-394-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7075",
            "fax_number": "209-394-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "AURORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-394-7075"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXPANDED ACCESS FOR PRIMA",
            "identifier": "EAP03897F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVINGSTON MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.