LIVELY VIRTUAL CARE ORGANIZATION PC
NPI 1447938683
Point of Service in Roseville, CA

Q: What is Lively Virtual Care Organization PC's NPI number?

The NPI number for Lively Virtual Care Organization PC is 1447938683. It was assigned to this organization in the NPPES registry on July 7, 2023.

Q: What is Lively Virtual Care Organization PC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since July 07, 2023

108 BEN EZRA AVE, ROSEVILLE, CA 95678(916) 235-8617(916) 846-9463 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2024, Jul 7, 2023 (2 updates tracked since 2023).

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About Lively Virtual Care Organization Pc NPPES

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

LIVELY VIRTUAL CARE ORGANIZATION PC (NPI 1447938683) is a healthcare organization registered as a point of service in Roseville, California and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Roseville and lists Sandra Kocsis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447938683

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameLIVELY VIRTUAL CARE ORGANIZATION PC

Location Address108 BEN EZRA AVERoseville, CA 95678-2702

Mailing AddressPo Box 604Roseville, CA 95661-0604 · (916) 622-3609 · Fax (916) 333-3634

Phone(916) 235-8617

Fax(916) 846-9463

Organization SubpartNo

Authorized OfficialSandra KocsisCeo · (916) 622-3609

Enumeration DateJuly 7, 2023

Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1447938683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

108 BEN EZRA AVE, Roseville, CA 95678

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Other Names 1

Doing Business AsLively Virtual Care Organization Pc

Secondary Practice Location 1

Location 1108 Ben Ezra AveRoseville, CA 95678-2702 · Phone (916) 622-3609

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)

Lively Virtual Care Organization Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lively Virtual Care Organization PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Roderick Sanden, M.D.

Neurology

NPI 1952361412

3609 MISSION AVE STE F
Carmichael, CA 95608

(916) 484-4444

✔ PECOS✔ Accepts Medicare9.0 mi

Haywood Hall, MD

Emergency Medicine

NPI 1851385496

2101 PEASE ST
Harlingen, TX 78550

(956) 389-1100

✔ PECOS✔ Accepts Medicare1,621 mi

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 Lively Virtual Care Organization PC's NPI number?

The NPI number for Lively Virtual Care Organization PC is 1447938683. It was assigned to this organization in the NPPES registry on July 7, 2023.

Where is Lively Virtual Care Organization PC located?

Lively Virtual Care Organization PC is located at 108 Ben Ezra Ave, Roseville, CA 95678. The listed phone number is (916) 235-8617.

What is Lively Virtual Care Organization PC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Lively Virtual Care Organization PC enrolled in Medicare?

Yes. Lively Virtual Care Organization PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lively Virtual Care Organization PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lively Virtual Care Organization PC, in Emergency Medicine and Neurology. 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. Of these, 1 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 Lively Virtual Care Organization PC was last updated on February 5, 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.