Livermore Medical Clinic, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIVERMORE MEDICAL CLINIC, P.C.

Practice address

87 Fenton St
Suite 210
Livermore, CA 94550-4100

Phone

(925) 373-0337

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James A. Blackwell, M.D.

Title

President

Phone

(925) 373-0337

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard D Kilker Jr., MD

  • Family Medicine Physician
  • Livermore, CA
  • NPI 1932268976
  NPD (past)
• Parviz Sagheb Talebi, MD

  • Family Medicine Physician
  • Castro Valley, CA
  • NPI 1326097411
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265532014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "SUITE 210",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-373-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "SUITE 210",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-373-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE MEDICAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-373-0337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi Liu
• Ying Wu Liu, PHARMD
• Livermore Care Home
• Livermore Dental Care
• Livermore Family Medicine & Geriatrics, Inc.
• Livermore Medical Supply
• Livermore Optometry Group
• Livermore Primary Care Medical Associates, Inc.
• Livermore Primary Care Medical Associates, Inc.
• Livermore Valley Jusd

• Health Service Clinic/Center in Livermore, CA
• Providers in Livermore, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.