LIVERMORE MEDICAL CLINIC, P.C. (NPI# 1265532014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265532014 |
| Entity Type | Organization |
| Organization Name | LIVERMORE MEDICAL CLINIC, P.C. |
| Practice Address |
87 Fenton St Suite 210 Livermore CA 94550-4100 |
| Practice Telephone | 9253730337 |
| Mailing Telephone | 9253730337 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES A. BLACKWELL (PRESIDENT) |
| Authorized Official Telephone | 9253730337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
87 FENTON ST SUITE 210 |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801880505 | Michael Robert Alper | Internal Medicine | 87 Fenton St, Suite 100, Livermore, CA 94550-4100 | 2005-09-08 |
| 1609256791 | John Muir Physician Network | Family Medicine | 87 Fenton St, Suite #210, Livermore, CA 94550-4100 | 2015-06-03 |
| 1104257674 | Ashley Schempp | Physical Therapist | 87 Fenton St, Livermore, CA 94550-4100 | 2013-12-09 |
| 1467705533 | Eric D. Luu & Lisa M. Nguyen | Dentist | 87 Fenton St, Ste 105, Livermore, CA 94550-4100 | 2012-10-26 |
| 1366741878 | Emily Elizabeth Heimer | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2011-03-23 |
| 1356592398 | Lisa Nguyen | Dentist | 87 Fenton St, Ste 105, Livermore, CA 94550-4100 | 2008-10-08 |
| 1619029410 | Sharon D Bagnall | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2007-01-18 |
| 1932268976 | Richard D Kilker Jr. | Family Medicine | 87 Fenton St, Suite 210, Livermore, CA 94550-4100 | 2006-12-06 |
| 1942371109 | Kristyn M Schlenker | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2006-11-10 |
| 1861587198 | Physiotherapy Associates Inc | Clinic/Center | 87 Fenton St, Suite 106, Livermore, CA 94550-4159 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255672366 | Michelle Fraley | Clinic/Center | 7011 East Ave, Ms 9112, Livermore, CA 94550-9610 | 2013-03-14 |
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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.