LIVINGWATER'S MEDICAL CLINIC, INC. (NPI# 1073041851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073041851 |
| Entity Type | Organization |
| Organization Name | LIVINGWATER'S MEDICAL CLINIC, INC. |
| Practice Address |
255 N Gilbert St Ste C2 Hemet CA 92543-4078 |
| Mailing Address |
24910 Las Brisas Rd Ste 111 Murrieta CA 92562-4010 |
| Practice Telephone | 9516948549 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | TRACY KUVEKE (BILLER) |
| Authorized Official Telephone | 9516948549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A8759 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992738991 | Livingwater's Medical Clinic, Inc. | Clinic/Center | 24910 Las Brisas Rd, Suite 111, Murrieta, CA 92562-4010 | 2006-07-10 |
| Street Address |
255 N GILBERT ST STE C2 |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1508008764 | Silvia Marin Popowski | Family Medicine | 903 E Devonshire Ave Ste D, Hemet, CA 92543-3097 | 2009-04-01 |
| 1487822805 | Wayne J Kelly Md | Family Medicine | 301 E Florida Ave Ste E, Hemet, CA 92543-4253 | 2008-02-19 |
| 1619097730 | Victor Ruiz | Family Medicine | 1023 E Florida Ave, Hemet, CA 92543-4510 | 2007-03-30 |
| 1053474528 | Mark A Ramirez | Family Medicine | 1000 E Latham Ave Ste G, Hemet, CA 92543-4409 | 2006-12-18 |
| 1740349372 | Vidhya Koka | Family Medicine | 422 N San Jacinto St, Hemet, CA 92543-3124 | 2006-12-08 |
| 1558450684 | David Donnell Perz Jr. | Family Medicine | 2591 W Florida Ave, Hemet, CA 92545-4615 | 2006-10-12 |
| 1912015785 | John William Hunter | Family Medicine | 920 E Morton Pl, Hemet, CA 92543-4529 | 2006-08-29 |
| 1306954300 | Wasef Y Atiya | Family Medicine | 2573 W Florida Ave, Hemet, CA 92545-4615 | 2006-08-29 |
| Find all providers in HEMET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.