MR. FARGO MICHAEL LIVINGSTON (NPI# 1740562081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740562081 |
Entity Type | Individual |
Full Name | MR. FARGO MICHAEL LIVINGSTON |
Credential | B.A. |
Practice Address |
717 Lincoln Blvd Venice CA 90291-2845 |
Mailing Address |
717 Lincoln Blvd Venice CA 90291 |
Practice Telephone | 3103999883 |
Practice Fax Number | 1310399967 |
Mailing Telephone | 3103999883 |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172V00000X | Community Health Worker | Other Service Providers |
Street Address |
717 LINCOLN BLVD |
City | VENICE |
State | CA |
Zip Code | 90291-2845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114096872 | El Dorado Community Service Center | Clinic/Center | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2006-11-07 |
1194323659 | Antonio De Jesus Sanchez | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2020-10-15 |
1093360331 | Sandra Diane Kellar | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2019-08-05 |
1215405816 | John Edward Rudegeair | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2018-11-13 |
1922511401 | Christiana Dorian Grotlisch | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-11-07 |
1184144826 | Estefania Bernabe | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2017-06-23 |
1730636598 | Daniel Bolander | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-09-08 |
1184179525 | American Health Services | Exclusive Provider Organization | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2016-08-15 |
1588016489 | Cesia Delacruz | Licensed Vocational Nurse | 717 Lincoln Blvd, Venice, CA 90291 | 2016-07-05 |
1851774913 | Wade Taylor | Counselor | 717 Lincoln Blvd, Venice, CA 90291-2845 | 2015-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
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Taxonomy Code | 172V00000X |
Grouping | Other Service Providers |
Classification | Community Health Worker |
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366781387 | Susan Haley | Community Health Worker | 924 W Kathy Ct, Venice, FL 34293-1224 | 2013-02-12 |
1932640018 | Shinika Latrice Warren | Community Health Worker | 204 Hampton Dr, Venice, CA 90291 | 2017-03-09 |
1265847677 | Diana Brown | Community Health Worker | 204 Hampton Dr, Venice, CA 90291-2623 | 2014-06-24 |
1518308063 | Veronica Vazquez | Community Health Worker | 204 Hampton Dr, Venice, CA 90291-2623 | 2013-07-12 |
1427300136 | Anna Henderson | Community Health Worker | 204 Hampton Dr, Venice, CA 90291-2623 | 2012-10-04 |
1851658744 | Roberto Herrera | Community Health Worker | 204 Hampton Dr, Venice, CA 90291-2623 | 2012-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699376400 | Rosa Maria Narvaez | Community Health Worker | 1206 Valencia St Apt 9, San Francisco, CA 94110-3097 | 2020-11-06 |
1134720238 | Hilda Rodriguez | Community Health Worker | 397 W 53rd St, San Bernardino, CA 92407-2612 | 2020-11-04 |
1952902132 | Maria G Martinez | Community Health Worker | 6260 Hetty St, Fontana, CA 92336-1036 | 2020-11-04 |
1568063725 | Darlene My Phan | Community Health Worker | 661 Clearwater Creek Dr, Newbury Park, CA 91320-4976 | 2020-11-04 |
1477150142 | Jennifer Messer | Community Health Worker | 14344 Cajon Ave Ste 102-103, Victorville, CA 92392-4300 | 2020-10-06 |
1083224604 | Vilma Rizzo | Community Health Worker | 1318 Gateview Ave, San Francisco, CA 94130-1418 | 2020-08-07 |
1922625912 | Katriona Lorraine Reilly-amtoft | Community Health Worker | 513 Park Way, South San Francisco, CA 94080-2644 | 2020-06-25 |
1962024489 | Chyvonne Washington | Community Health Worker | 2000 Alameda De Las Pulgas Ste 230, San Mateo, CA 94403-7200 | 2020-05-07 |
1326668336 | Iris Teresa Merlos | Community Health Worker | 22046 Saticoy St, Canoga Park, CA 91303-1132 | 2020-04-20 |
1164055836 | Leonardo A Camacho | Community Health Worker | 154 Capp St Ste A, San Francisco, CA 94110-1210 | 2020-02-20 |
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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.