Lumira Healthcare
Organization Active NPI Federally Qualified Health Center (FQHC) · Hilmar, CA
NPI 1124300207 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1124300207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LUMIRA HEALTHCARE
- Practice address
- 7970 Lander Ave Ste a-B
Hilmar, CA 95324-8350 - Phone
- (209) 850-3500
- Fax
- (209) 850-3499
- NPI assigned
- Sep 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Leslie Abasta-Cummings, MPH
- Title
- Chief Executive Officer
- Phone
- (209) 850-3500
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 9
Practitioners 32
-
Lourdes Apodaca, LCSW
-
Arleen Yahyabeyk, MD
-
Jose Gerardo Alberto, M.D.
-
Chuah Cha, D.O.
-
Mitchell Alan Cohen, D.O.
-
John English, M.D.
-
Benjamin Hsieh, MD
-
Annarheen Sola Pineda, PH.D.
-
George M Savage, M.D.
-
Edie Laine Stone, ACSW
-
Glen Villanueva, D.O.
-
Susie M. Wenstrup, M.D.
-
Gabrielle M L Amis, FNP-C
-
Jesus J Corral, PA
-
Melinda Edmondson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Federally qualified health center certification: CCN 751057
- Legal name
- LIVINGSTON COMMUNITY HEALTH
- Doing business as
- HILMAR HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 25, 2014
- Last certification
- Apr 25, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 25, 2012 in CA
- Enrollment address
- 7970 Lander Ave
Ste a
Hilmar, CA 95324-8350
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Modesta Enriquez |
Corporate Director |
Oct 1, 2010 | |
| Greg Thompson |
Corporate Director |
Aug 1, 2012 | |
| Bruce Metcalf |
Corporate Director |
Nov 1, 2010 | |
| Hilda Pimentel |
Corporate Director |
Aug 1, 2012 | |
| Leslie Abasta-Cummings |
5% Or Greater Direct Ownership Interest |
Mar 11, 2014 | 5% |
| W-2 Managing Employee |
Mar 27, 2012 | ||
| Operational/Managerial Control |
Mar 27, 2012 | 100% | |
| Eva Delong |
Corporate Director |
Feb 1, 2014 | |
| David Blevins |
Corporate Director |
Mar 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000617 | CA | Part B Supplier - Clinic/Group Practice | 8820084692 |
Receives reassigned benefits from 81 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Delhi, CA; Hilmar, CA; Hughson, CA; Livingston, CA; Modesto, CA; Patterson, CA; Waterford, CA |
| O20140424000357 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 8820084692 | Practice locations: Hilmar, CA |
National Provider Directory
- Part of
- Livingston Community Health
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
7970 Lander Ave Ste a-B
Hilmar, CA 95324-8350
Mailing address
600 B St BLDG a-C
Livingston, CA 95334-9593
Phone (209) 850-3500
Other names
- Hilmar Health Center
- Hilmar Lander Ave Center
Other providers in Hilmar, CA
- Jennifer Lee Johnson
- Leila Jones
- Jocelyn Juarez
- Manpreet Kaur
- Jessica Leam
- Sonia Mahi
- Jason Mays
- Merced Faculty Associates Medical Group Incorporated
- Salean Mesa
- Maria Naanaa
All providers in Hilmar, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.