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LIVE OAK MEDICAL CLINIC
NPI 1316096894
Clinic/Center - Federally Qualified Health Center (FQHC) in Live Oak, CA

Active since January 10, 2007
9980 LIVE OAK BLVD, LIVE OAK, CA 95953(530) 749-3242(530) 749-3248 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Live Oak Medical Clinic NPPES

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

LIVE OAK MEDICAL CLINIC (NPI 1316096894) is a healthcare organization registered as a federally qualified health center (fqhc) in Live Oak, California and active in the NPI registry since January 2007. The organization lists Greg Stone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316096894
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePEACH TREE HEALTHCARE
Location Address9980 LIVE OAK BLVDLive Oak, CA 95953-2334
Mailing Address1114 Yuba St Ste 220Marysville, CA 95901-4838 · (530) 749-3242 · Fax (530) 749-3248
Phone(530) 749-3242
Fax(530) 749-3248
Organization SubpartNo
Authorized OfficialGreg StoneCeo · (530) 741-6245
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 23, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1316096894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 550000248
Also ListedOptometristTaxonomy 152W00000X · License 14503TLG (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedFamily MedicineTaxonomy 207Q00000X · License C51576 (CA)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A93985 (CA)
9980 LIVE OAK BLVD, Live Oak, CA 95953
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Other Names 1

Doing Business AsLive Oak Medical Clinic

Other Identifiers 1

MedicaidFHC71147FCA

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)

Live Oak Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Live Oak Medical Clinic, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner15
Family Practice13
Pediatric Medicine6
Clinical Social Worker5
Optometry5
Marriage and Family Therapist3
Chiropractic2
Emergency Medicine1
5 other specialties5

Nearest to this location (20)

See all 55
Natalie Petersen, FNP
Nurse Practitioner
NPI 1740992817
240 SPRUCE ST
Gridley, CA 95948
(530) 846-9000
✔ PECOS✔ Accepts Medicare6.5 mi
Thomas Devine, FNP
Nurse Practitioner
NPI 1548627516
284 SPRUCE ST
Gridley, CA 95948
(530) 846-9080
✔ PECOS✔ Accepts Medicare6.5 mi
Mark Miller, LCSW
Clinical Social Worker
NPI 1487945556
1965 LIVE OAK BLVD
Yuba City, CA 95991
(530) 822-7200
✔ PECOS✔ Accepts Medicare8.6 mi
Jackson Lim, D.P.M.
Podiatry
NPI 1073594727
1531 PLUMAS CT SUITE A
Yuba City, CA 95991
(530) 674-9737
✔ PECOS✔ Accepts Medicare8.8 mi
Allison Lemere
Marriage and Family Therapist
NPI 1659938249
1525 PLUMAS CT STE C&D
Yuba City, CA 95991
(530) 418-1001
✔ PECOS✔ Accepts Medicare8.8 mi
Khaldoun Alkayed
Pediatric Medicine
NPI 1982876082
1275 THARP RD
Yuba City, CA 95993
(530) 749-3242
✔ PECOS9.0 mi
Melinda Astran, MD
Family Practice
NPI 1184624744
1275 THARP RD
Yuba City, CA 95993
(530) 749-3242
✔ PECOS✔ Accepts Medicare9.0 mi
Arka Bhattacharya, M.D.
Family Practice
NPI 1881268159
1275 THARP RD
Yuba City, CA 95993
(530) 749-3242
✔ PECOS✔ Accepts Medicare9.0 mi
Lashon Dorsey
Nurse Practitioner
NPI 1699544726
1275 THARP RD
Yuba City, CA 95993
(530) 749-3242
✔ PECOS9.0 mi
Tejinder Ghuman, M.D.
Pediatric Medicine
NPI 1730110487
1275 THARP RD
Yuba City, CA 95993
(530) 749-3242
✔ PECOS9.0 mi
Benson Chin, MD
Family Practice
NPI 1134218266
1558 POOLE BLVD SUITE A
Yuba City, CA 95993
(530) 755-0882
✔ PECOS✔ Accepts Medicare9.1 mi
Gabriella Alvarado, FNP-C
Nurse Practitioner
NPI 1508437229
1429 COLUSA HWY STE B
Yuba City, CA 95993
(530) 317-1909
✔ PECOS9.3 mi
Charles Price, D.C.
Chiropractic
NPI 1457568867
471 AINSLEY AVE
Yuba City, CA 95991
(530) 755-3200
✔ Accepts Medicare9.3 mi
Justin Treat, OD
Optometry
NPI 1316553886
901 MAPLE AVE
Yuba City, CA 95991
(530) 674-8170
✔ PECOS✔ Accepts Medicare9.5 mi
Edward Kalpas, M.D.
Family Practice
NPI 1629443957
1114 YUBA ST STE 220
Marysville, CA 95901
(530) 749-3242
✔ PECOS✔ Accepts Medicare9.7 mi
Danielle De Guia
Clinical Social Worker
NPI 1659803849
1040 LINCOLN RD STE A #149
Yuba City, CA 95991
(916) 620-7806
✔ PECOS✔ Accepts Medicare11 mi
Zainab Ajeena, MD
Pediatric Medicine
NPI 1679832091
5730 PACKARD AVE STE 500
Marysville, CA 95901
(530) 749-3242
✔ PECOS12 mi
Russell Heckburn, MD
Family Practice
NPI 1518617919
5730 PACKARD AVE STE 500
Marysville, CA 95901
(530) 749-3242
✔ PECOS✔ Accepts Medicare12 mi
Michael Neal, D.O.
Hospitalist
NPI 1932137460
5730 PACKARD AVE STE 500
Marysville, CA 95901
(530) 749-3242
✔ PECOS✔ Accepts Medicare12 mi
Fonda Shaw, FNP/CNM
Nurse Practitioner
NPI 1114038320
5730 PACKARD AVE STE 500
Marysville, CA 95901
(530) 749-3242
✔ PECOS12 mi
See all 55 clinicians

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

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 Peach Tree Healthcare's NPI number?

The NPI number for Peach Tree Healthcare is 1316096894. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as Live Oak Medical Clinic.

Where is Peach Tree Healthcare located?

Peach Tree Healthcare is located at 9980 Live Oak Blvd, Live Oak, CA 95953. The listed phone number is (530) 749-3242.

What is Peach Tree Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Peach Tree Healthcare enrolled in Medicare?

Yes. Peach Tree Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peach Tree Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 13 Medicare specialties reassign their Medicare billing to Peach Tree Healthcare. 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 Nurse Practitioner (15), Family Practice (13) and Pediatric Medicine (6). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peach Tree Healthcare was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.