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

NPI Status: Active since January 10, 2007

Contact Information

9980 LIVE OAK BLVD
LIVE OAK, CA
ZIP 95953
Phone: (530) 749-3242
Fax: (530) 749-3248

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About LIVE OAK MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Live Oak Medical Clinic, a primary care provider established in Live Oak, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1316096894 assigned on January 2007. The practitioner's primary taxonomy code is 261QF0400X with license number 550000248 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Live Oak Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Live Oak Medical Clinic. The authorized official of this NPI record is Mr. Greg Stone (Ceo)

NPI
1316096894
Provider Legal Name
PEACH TREE HEALTHCARE
Other Organization Name
LIVE OAK MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9980 LIVE OAK BLVD LIVE OAK, CA 95953
Location Phone
(530) 749-3242
Location Fax
(530) 749-3248
Mailing Address
1114 YUBA ST STE 220 MARYSVILLE, CA 95901
Mailing Phone
(530) 749-3242
Mailing Fax
(530) 749-3248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2007
Last Update Date
05-23-2022
Code Navigator

A primary care provider (PCP) like Live Oak Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
550000248
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

14503TLG (CA)
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

C51576 (CA)
4207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

A93985 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GREG STONE

Authorized Official Title
CEO
Authorized Official Phone
(530) 741-6245

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC71147FMEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316096894, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 0 + 9 + 1 + 2 + 8 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1316096894.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
9980 LIVE OAK BLVD
LIVE OAK, CA 95953
Family Medicine
9980 LIVE OAK BLVD
LIVE OAK, CA 95953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316096894, enumerated as an "organization" on January 10, 2007.

The provider is located at 9980 LIVE OAK BLVD LIVE OAK, CA 95953 and the phone number is (530) 749-3242.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.