Organization Active NPI

Livingstone Community Development Corporation

Doing business as Livingstone Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Fullerton, CA
National Provider Identifier
1740196518
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION
Doing business as
Livingstone Community Health Clinic
Practice address
1966 E Chapman Ave Ste a
Fullerton, CA 92831-4141
Phone
(714) 248-9500
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Authorized official

Name
Dr. Kyung I. Park, MD
Title
Ceo
Phone
(714) 248-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1966 E Chapman Ave Ste a
Fullerton, CA 92831-4141

Mailing address

1966 E Chapman Ave Ste a
Fullerton, CA 92831-4141
Phone (714) 248-9500

Other names 1

  • Livingstone Community Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Livingstone Community Development Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1966 E Chapman Ave
Ste A
Fullerton, CA 92831
Phone (714) 519-3147

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787356800000",
    "number": "1740196518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314141",
            "telephone_number": "714-248-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 E CHAPMAN AVE STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314141",
            "telephone_number": "714-248-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-248-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingstone Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.