HEALTHY LIVING PRIMARY CARE, INC
NPI 1144414293
Family Medicine in Folsom, CA

Active since August 31, 2007CLIA Certified · 2 labs
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630(916) 983-8868(916) 983-8891 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Healthy Living Primary Care, Inc NPPES

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

HEALTHY LIVING PRIMARY CARE, INC (NPI 1144414293) is a healthcare organization registered as a family medicine in Folsom, California and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Fair Oaks, and lists Joy Liu, President, as its authorized official.

NPPES Registry Identity

NPI1144414293
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTHY LIVING PRIMARY CARE, INC
Location Address82 CLARKSVILLE RD STE 120Folsom, CA 95630-8210
Mailing Address2545 E Bidwell St, 110Folsom, CA 95630-6440 · (916) 983-9886 · Fax (916) 983-8891
Fax(916) 983-8891
Organization SubpartNo
Authorized OfficialJoy LiuPresident · (916) 983-8868
Enumeration DateAugust 31, 2007
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1144414293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A9350
Definition
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.
82 CLARKSVILLE RD STE 120, Folsom, CA 95630

Secondary Practice Location 1

Location 111634 Fair Oaks BlvdFair Oaks, CA 95628-3771 · Phone (916) 983-8868 · Fax (916) 983-8891

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Living Primary Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Healthy Living Primary Care, Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice5
Marriage and Family Therapist2
Nurse Practitioner2
Internal Medicine1
Psychiatry1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1043017874
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 983-8868
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013627165
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 983-8868
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1881359990
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 299-9859
✔ PECOSSame address
Internal Medicine
NPI 1891136933
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 983-8868
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912128547
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 983-8868
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174601744
82 CLARKSVILLE RD STE 120
Folsom, CA 95630
(916) 983-8868
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508430125
11634 FAIR OAKS BLVD
Fair Oaks, CA 95628
(916) 983-8868
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1669835930
1620 E ROSEVILLE PKWY STE 200
Roseville, CA 95661
(916) 783-7109
✔ PECOS✔ Accepts Medicare8.8 mi
Marriage and Family Therapist
NPI 1265890255
555 TECHNOLOGY CT
Riverside, CA 92507
(951) 686-8500
✔ PECOS✔ Accepts Medicare385 mi
Family Practice
NPI 1114334745
15812 E INDIANA AVE
Spokane Valley, WA 99216
(509) 444-8200
✔ PECOS✔ Accepts Medicare653 mi
Psychiatry
NPI 1861016289
1356 LUSITANA ST FL 4
Honolulu, HI 96813
(808) 586-7428
✔ PECOS✔ Accepts Medicare2,482 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1070168

Healthy Living Primary Care · Folsom, CA
Active · expires Jun 20, 2027
CLIA Number05D1070168
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorJoy Liu
Laboratory Phone(916) 983-8868
Laboratory LocationHealthy Living Primary Care82 Clarksville Rd Ste 120, Folsom, CA 95630
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2126227

Healthy Living Primary Care · Fair Oaks, CA
Active · expires Feb 21, 2027
CLIA Number05D2126227
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorSean-Mikael Dodenhoff
Laboratory Phone(916) 983-8868
Laboratory LocationHealthy Living Primary Care11634 Fair Oaks Blvd, Fair Oaks, CA 95628
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Healthy Living Primary Care, Inc's NPI number?

The NPI number for Healthy Living Primary Care, Inc is 1144414293. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Healthy Living Primary Care, Inc located?

Healthy Living Primary Care, Inc is located at 82 Clarksville Rd Ste 120, Folsom, CA 95630. The listed phone number is (916) 983-8868.

What is Healthy Living Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Healthy Living Primary Care, Inc enrolled in Medicare?

Yes. Healthy Living Primary Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Living Primary Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Healthy Living Primary Care, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Marriage and Family Therapist (2) and Nurse Practitioner (2). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Healthy Living Primary Care, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Healthy Living Primary Care, Inc was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.