Active NPI
Kevin Maurice McGauley, FNP
- Family Nurse Practitioner
- Livingston, CA
National Provider Identifier
1205311941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 560360
- Practice address
- Livingston Community Health
1140 Main Street
Livingston, CA 95334 - Phone
- (209) 394-7913
- Fax
- (209) 394-1337
- NPI assigned
- Sep 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 560360 | CA | Primary |
Addresses
Primary practice location
Livingston Community Health
1140 Main Street
Livingston, CA 95334
Mailing address
1140 Main St
Livingston, CA 95334-1257
Phone (209) 394-7913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560360 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Community Health | Current | Accepting new patients | |
| Camarena Health | Family | Current | Accepting new patients |
| Camarena Health | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients | |
| Camarena Health | Current | Accepting new patients | |
| Lumira Healthcare | Current | Accepting new patients |
Locations
7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819
600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500
1140 Main St
Livingston, CA 95334
Phone (209) 394-7913
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
Interoperability endpoints
- kevin.mcgauley.1@25900.direct.athenahealth.com
- kevin.mcgauley.p3@direct.livingstoncommunity.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Livingston, CA
- NPI 1427110329
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1841815347
-
- Federally Qualified Health Center (FQHC)
- Patterson, CA
- NPI 1295184117
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1649099151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1205311941",
"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": "209-394-7913",
"fax_number": "209-394-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LIVINGSTON COMMUNITY HEALTH",
"address_2": "1140 MAIN STREET",
"city": "LIVINGSTON",
"state": "CA",
"postal_code": "95334",
"telephone_number": "209-394-7913",
"fax_number": "209-394-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAULEY",
"first_name": "KEVIN",
"middle_name": "MAURICE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "560360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.