JUDY DIANA LIVELY MD
NPI 1083786735
Surgery in Martinez, CA

Q: What is Judy Lively's NPI number?

The NPI number for Judy Lively is 1083786735. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Judson Carlos Lively M.D..

Q: What is Judy Lively's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Judy Lively was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2006

200 MUIR RD, MARTINEZ, CA 94553(925) 372-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Judy Diana Lively Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY DIANA LIVELY MD (NPI 1083786735) is an individual surgery provider in Martinez, California, licensed in California (G67249) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1083786735

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJUDY DIANA LIVELYCredential: MD

Location Address200 MUIR RDMartinez, CA 94553-4614

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(925) 372-1000

Sole ProprietorNo

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083786735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G67249

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

200 MUIR RD, Martinez, CA 94553

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Other Names 1

Former Name (1)Judson Carlos Lively M.d.

Other Identifiers 3

Medicare UPINA99808

Medicare ID-Type Unspecified00G672491

Medicaid00G672490CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY HO PHARMD

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (408) 598-0507

JOANNE AMALA SUPERSAD MD

Pediatrics (Adolescent Medicine)

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 372-1000

CLARISSE ANNE R. WONG MD

Family Medicine

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 372-1999

MISS UYEN DO

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4544

JULIA ANN GEARHART MS, CCC-SLP

Speech-Language Pathologist

200 MUIR RD, HOME HEALTH OFFICES
MARTINEZ, CA 94553

Contra Costa County (925) 595-3684

YOLANDA TRUE RPH

Pharmacist

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4051

ANNE RUSSELL PT

Physical Therapist

200 MUIR RD, KAISER HOME HEALTH AGENCY
MARTINEZ, CA 94553

Contra Costa County (925) 313-4668

DIANE MILWARD R.D., C.D.E

Dietitian, Registered

200 MUIR RD
MARTINEZ, CA 94553

Contra Costa County (925) 313-4743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Lively's NPI number?

The NPI number for Judy Lively is 1083786735. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Judson Carlos Lively M.D..

Where is Judy Lively located?

Judy Lively practices at 200 Muir Rd, Martinez, CA 94553. The listed phone number is (925) 372-1000.

What is Judy Lively's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Judy Lively was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.