Live Oaks Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIVE OAKS WELLNESS LLC

Practice address

684 Wilson Ave
Novato, CA 94947-3840

Phone

(925) 595-0871

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Wesley Heim

Title

Partner

Phone

(858) 342-9151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1821717646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473840",
            "telephone_number": "925-595-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473840",
            "telephone_number": "925-595-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAKS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "858-342-9151"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maygree Dee Lindor, PHARMD
• Alexis Linnebur Kindred, DMD
• Marcelle Mae Little, LMFT
• Jennifer Shaw-Chin Liu, FNP
• Serena Liu
• Living at Reflections LLC
• Living at Reflections, LLC
• Louis G Livoti, M.D.
• Dina M Lloyd, FNP-C
• Sylvia Luz Lobo, CMP

• Substance Abuse Rehabilitation Facility in Novato, CA
• Providers in Novato, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.