Organization Active NPI

Livermore Primary Care Medical Associates, Inc.

  • Family Medicine Physician
  • Livermore, CA
National Provider Identifier
1114985991
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVERMORE PRIMARY CARE MEDICAL ASSOCIATES, INC.
Practice address
42 Fenton St
Livermore, CA 94550-4144
Phone
(925) 443-3232
Fax
(925) 443-3239
NPI assigned
May 2, 2006
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Raymond J Rowell, M.D.NPI 1407824121
Title
President
Phone
(925) 443-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

42 Fenton St
Livermore, CA 94550-4144

Mailing address

42 Fenton St
Livermore, CA 94550-4144
Phone (925) 443-3232

National Provider Directory

National Provider Directory

Locations

42 Fenton St
Livermore, CA 94550
Phone (925) 443-3232

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1114985991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FENTON ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504144",
            "telephone_number": "925-443-3232",
            "fax_number": "925-443-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 FENTON ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504144",
            "telephone_number": "925-443-3232",
            "fax_number": "925-443-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE PRIMARY CARE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "ROWELL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-443-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.