Livia Speare Galli Rasmussen, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

35195TLG Issued in CA

Practice address

940 Sylva LN Ste H
Sonora, CA 95370-5969

Phone

(209) 532-4123

Fax

(209) 532-6749

NPI assigned

Jan 5, 2022

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Livia Catherine Speare Galli Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: livia.gallirasmussen.p1@direct.macthealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment Care Compare group
• Chris Iwata, OD

  • Optometrist
  • Angels Camp, CA
  • NPI 1306390265
  NPD (past)
• M a C T Health Board Incorporated

  dba MACT Medical Sonora

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD (past)
• M a C T Health Board, Incorporated

  dba MACT Health & Wellness, Sutter Creek

  • Federally Qualified Health Center (FQHC)
  • Sutter Creek, CA
  • NPI 1417741869

  Optometrist

  NPD (past)
• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
  • NPI 1346662970
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1417618117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952491184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SYLVA LN STE H",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705969",
            "telephone_number": "209-532-4123",
            "fax_number": "209-532-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 Calaveritas Rd",
            "address_purpose": "LOCATION",
            "city": "San Andreas",
            "state": "CA",
            "postal_code": "952499756",
            "country_code": "US",
            "telephone_number": "209-981-8098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Stanislaus Ave",
            "address_purpose": "LOCATION",
            "city": "Angels Camp",
            "state": "CA",
            "postal_code": "952229356",
            "country_code": "US",
            "telephone_number": "209-736-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLI RASMUSSEN",
        "first_name": "LIVIA",
        "middle_name": "SPEARE",
        "name_prefix": "Mrs.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35195TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIVIA",
            "last_name": "GALLI",
            "middle_name": "CATHERINE SPEARE",
            "prefix": "MS.",
            "credential": "OD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Michael French, DMD
• Edman Fuentes, PAC
• Nicole Autumn Fullmer, H.A.D.
• Valerie Ann Gabriel, LCSW
• Galen Inpatient Physicians PC (Vituity)
• Kevin Gandhi, DO
• Terry Garcia, PHD
• Gary L Wright MD Inc
• Gary M. Deacon (Sonora Physical Therapy Center)
• James Douglas Gearing, DDS

• Optometrist in Sonora, CA
• Providers in Sonora, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.