Lumira Healthcare
Organization Active NPI Federally Qualified Health Center (FQHC) · Modesto, CA
NPI 1649099151 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1649099151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LUMIRA HEALTHCARE
- Practice address
- 1444 Florida Ave Ste 202
Modesto, CA 95350-4400 - Phone
- (209) 850-3500
- Fax
- (209) 850-3499
- NPI assigned
- Oct 10, 2024
- Organization subpart
- No
Authorized official
- Name
- Leslie Abasta-Cummings
- Title
- Ceo
- Phone
- (209) 850-3500
Owners & managing parties with NPI records 1
-
Glen Villanueva, D.O.
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 9
Practitioners 91
-
Jose Gerardo Alberto, M.D.
-
Lourdes Apodaca, LCSW
-
Chuah Cha, D.O.
-
Mitchell Alan Cohen, D.O.
-
John English, M.D.
-
Benjamin Hsieh, MD
-
Annarheen Sola Pineda, PH.D.
-
George M Savage, M.D.
-
Edie Laine Stone, ACSW
-
Glen Villanueva, D.O.
-
Susie M. Wenstrup, M.D.
-
Arleen Yahyabeyk, MD
-
Gabrielle M L Amis, FNP-C
-
Rohit Arora, DO
-
Jaswinder Barn, DNP/FNP/PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Federally qualified health center certification: CCN A11025
- Legal name
- LIVINGSTON COMMUNITY HEALTH
- Doing business as
- MODESTO HEALTH CENTER-FLORIDA AVE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 17, 2025
- Last certification
- Nov 17, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1444 Florida Ave
Ste 202
Modesto, CA 95350-4400
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| William Reichle |
Corporate Director |
Jan 1, 2023 | |
| Jyotti Pannu |
Corporate Director |
May 1, 2019 | |
| Rajmeet Grewal |
Corporate Director |
Feb 27, 2025 | |
| Glen Villanueva |
Corporate Officer |
Nov 1, 2017 | |
| W-2 Managing Employee |
Nov 1, 2017 | ||
| Hilda Pimentel |
Corporate Director |
Jan 1, 2023 | |
| Leslie Abasta-Cummings |
Corporate Officer |
Mar 12, 2012 | |
| W-2 Managing Employee |
Mar 12, 2012 | ||
| Emily Fleischmann |
Corporate Director |
Jan 1, 2023 | |
| Rosalinda Ruiz |
Corporate Director |
Jan 1, 2016 | |
| Mark Hendrickson |
Corporate Director |
Dec 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251009003318 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 8820084692 | Practice locations: Modesto, CA |
National Provider Directory
- Tax ID family
- Livingston Community Health
- Part of
- Livingston Community Health
Locations
16233 King St
Delhi, CA 95315
Phone (209) 394-7913
7970 Lander Ave
Ste A
Hilmar, CA 95324
Phone (209) 262-1818
600 B St
Bldg B
Livingston, CA 95334
Phone (209) 299-6006
800 Delbon Ave
Turlock, CA 95382
Phone (209) 664-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1444 Florida Ave Ste 202
Modesto, CA 95350-4400
Mailing address
600 B St BLDG a-C
Livingston, CA 95334-9593
Phone (209) 850-3500
Other names
- Modesto Florida Ave Center
Other providers in Modesto, CA
- Alexander Luis
- Alana Mariah Lujan
- Jenna April Lujan
- Concepcion Maria Lukins
- Brent Leong Lum
- Lumira Healthcare
- Azalia Grace Luna
- Karina Luna
- Rafael Luna
- Samantha Tamara Luna
All providers in Modesto, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.