Individual provider Active NPI

Kevin Maurice McGauley, FNP

  • Family Nurse Practitioner
  • Livingston, CA
National Provider Identifier
1205311941
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
560360 Issued in CA
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

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401002210 CA Practitioner - Nurse Practitioner 6507107554 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
560360CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Community Health CurrentSince Nov 20, 2018 Accepting new patients
Camarena Health Family Current Accepting new patients
Camarena Health CurrentSince Oct 16, 2024 Accepting new patients
Lumira Healthcare Current Accepting new patients
Camarena Health CurrentSince Oct 16, 2024 Accepting new patients
Lumira Healthcare CurrentSince Nov 20, 2018 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

  • Direct secure messaging: kevin.mcgauley.1@25900.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.