LIVEWELL MEDICAL CLINIC INC – NPI #1770675886
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

LIVEWELL MEDICAL CLINIC INC is a provider located in SAN BRUNO, CA. NPPES has assigned the NPI number 1770675886 to LIVEWELL MEDICAL CLINIC INC on September 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVEWELL MEDICAL CLINIC INC below.

NPI Profile for
LIVEWELL MEDICAL CLINIC INC

NPI Number
1770675886
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVEWELL MEDICAL CLINIC INC
Primary location
1150 EL CAMINO REAL
#225
SAN BRUNO, CA 94066
Phone: (650) 873-3338 Fax: (650) 873-3308
Mailing address
5528 PACHECO BLVD
STE A
PACHECO, CA 94553
Phone: (925) 363-8170 Fax: (925) 363-4995
Organization Subpart
No
Authorized Official
MARIA OSMONA
PRESIDENT OWNER
Phone: (650) 873-3338
Updated
Identifiers

Identifiers for LIVEWELL MEDICAL CLINIC INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0101840
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA A78723

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.