NPIMap

Organization Active NPI

Lumira Healthcare

Doing business as Livingston Campus Center

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
National Provider Identifier
1427110329
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LUMIRA HEALTHCARE
Doing business as
Livingston Campus Center
Practice address
600 B St BLDG B-C
Livingston, CA 95334-9593
Phone
(209) 850-3500
Fax
(209) 850-3499
NPI assigned
Dec 15, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Leslie Tamiko Abasta-Cummings, MPH
Title
Ceo
Phone
(209) 850-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

600 B St BLDG B-C
Livingston, CA 95334-9593

Mailing address

600 B St BLDG a-C
Livingston, CA 95334-9593
Phone (209) 850-3500

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ71885YOtherCABLUE SHIELD
FHC03897FMedicaidCA
BCP03897FOtherCABREAST CANCER EARLY DETEC
HAP03897FOtherCAHEALTH ACCESS PROGRAM

Other names 1

  • Livingston Campus Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040426000617 CA Part B Supplier - Clinic/Group Practice 8820084692 Receives reassigned benefits from 81 practitioners
7 other NPIs on this enrollment
Practice locations: Delhi, CA; Hilmar, CA; Hughson, CA; Livingston, CA; Modesto, CA; Patterson, CA; Waterford, CA
O20091112000107 CA Part A Provider - Federally Qualified Health Center (FQHC) 8820084692 Practice locations: Livingston, CA
O20180208002743 CA Part A Provider - Federally Qualified Health Center (FQHC) 8820084692 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Delhi, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1427110329. Details of each certification follow.

Federally qualified health center certification: CCN 051949

Legal name
LIVINGSTON COMMUNITY HEALTH
Doing business as
LIVINGSTON COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 1, 1995
Last certification
Jun 1, 1995
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 3, 1970 in CA
Enrollment address
600 B St
BLDG B
Livingston, CA 95334-9593

Federally qualified health center certification: CCN 921044

Legal name
LIVINGSTON COMMUNITY HEALTH
Doing business as
DELHI HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 7, 2018
Last certification
Feb 7, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 30, 1970
Enrollment address
16233 King St
Delhi, CA 95315-9460

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7970 Lander Ave
Hilmar, CA 95324
Phone (209) 262-1819

600 B St
#B
Livingston, CA 95334

600 B St
Bldg Bc
Livingston, CA 95334

600 B St
Ste C
Livingston, CA 95334

800 Delbon Ave
Turlock, CA 95382
Phone (209) 558-5608

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maryellen Arana Individual Corporate DirectorBoard Chair Jun 1, 2014
Leslie Abasta-Cummings Individual Corporate OfficerCeo Mar 12, 2012
W-2 Managing EmployeeCeo Mar 12, 2012
Operational/Managerial ControlCeo Mar 12, 2012
Corporate OfficerChief Executive Officer Mar 27, 2012
W-2 Managing EmployeeChief Executive Officer Mar 27, 2012
Operational/Managerial ControlChief Executive Officer Mar 27, 2012 100%
Eva Delong Individual Corporate DirectorBoard Member Feb 1, 2014
Corporate DirectorSecretary Feb 1, 2014
John Pedrozo Individual Corporate OfficerBoard Member Jan 1, 2017
Corporate DirectorBoard Member Aug 1, 2012
David Blevins Individual Corporate DirectorVice Board Chair Mar 1, 2012
Corporate DirectorVice Chair Mar 1, 2012
Travis Lake Individual Corporate DirectorBoard Member Dec 1, 2015
Steve Moeller Individual Corporate DirectorBoard Member Jan 1, 2016
Philllip Schiber Individual Corporate DirectorBoard Member Jan 1, 2017
Hilda Pimentel Individual Corporate DirectorBoard Member Aug 1, 2012
Rosalinda Ruiz Individual Corporate DirectorBoard Member Jan 1, 2016

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1427110329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 B ST BLDG A-C",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "209-850-3500",
            "fax_number": "209-850-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST BLDG B-C",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "209-850-3500",
            "fax_number": "209-850-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIRA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "ABASTA-CUMMINGS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "TAMIKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-850-3500",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ71885Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC03897F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CANCER EARLY DETEC",
            "identifier": "BCP03897F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ACCESS PROGRAM",
            "identifier": "HAP03897F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Campus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, CA

Sources for this page

Verify at the official NPI Registry.