MR. FARGO MICHAEL LIVINGSTON


Address: 717 Lincoln Blvd, Venice, CA 90291-2845
Phone: 3103999883

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Office Location

Street Address 717 LINCOLN BLVD
City VENICE
State CA
Zip Code 90291-2845

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

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/

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City VENICE
Zip Code 90291

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Dataset Information

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.

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