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: July 26, 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

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.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Nurse Practitioner (Primary Care)
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Family Medicine
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Marriage & Family Therapist
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Nurse Practitioner (Family)
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Nutritionist
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Physician Assistant
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630
Physician Assistant
82 CLARKSVILLE RD STE 120
FOLSOM, CA 95630

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.

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 with the weekly NPPES data releases published by CMS.