Active NPI
Raquel Livoni, MD
- Family Medicine Physician
- Carmichael, CA
National Provider Identifier
1679730956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A106921
- Practice address
- 6500 Coyle Ave
Suite 5
Carmichael, CA 95608-0301 - Phone
- (916) 863-0155
- Fax
- (916) 863-0158
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A106921 | CA | Primary |
Addresses
Primary practice location
6500 Coyle Ave
Suite 5
Carmichael, CA 95608-0301
Mailing address
PO Box 1735
Fair Oaks, CA 95628-1735
Phone (916) 863-0155
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000520 | CA | Practitioner - Family Practice | 9739377656 | Practice locations: Carmichael, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106921 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1679730956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1735",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956281735",
"telephone_number": "916-863-0155",
"fax_number": "916-863-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 COYLE AVE",
"address_2": "SUITE 5",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080301",
"telephone_number": "916-863-0155",
"fax_number": "916-863-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVONI",
"first_name": "RAQUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A106921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.