Active NPI
Livefreely Inc
- Public Health or Welfare Agency
- San Jose, CA
National Provider Identifier
1023689973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- LIVEFREELY INC
- Practice address
- 4820 Harwood Rd Ste 200
San Jose, CA 95124-5273 - Phone
- (408) 981-5577
- NPI assigned
- Jul 1, 2021
- Last updated
- Jul 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Jue
- Title
- Co-Owner
- Phone
- (408) 981-5577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
4820 Harwood Rd Ste 200
San Jose, CA 95124-5273
Mailing address
167 Bangor Ave
San Jose, CA 95123-3602
Phone (408) 981-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A4757579 | Other | CA | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@livefreely.today | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210702001861 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224439807 | Practice locations: San Jose, CA |
National Provider Directory
National Provider DirectoryLocations
4820 Harwood Rd
Ste 200
San Jose, CA 95124
Phone (408) 981-5577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Lakewood Ranch, FL
- NPI 1881691335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625097600000",
"number": "1023689973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 BANGOR AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951233602",
"telephone_number": "408-981-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 HARWOOD RD STE 200",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245273",
"telephone_number": "408-981-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVEFREELY INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A",
"authorized_official_last_name": "JUE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "408-981-5577"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "A4757579",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@livefreely.today",
"affiliation": "N",
"endpointDescription": "Direct organization email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "text",
"address_1": "4820 Harwood Rd Ste 200",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "951245273",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.