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LIVE OAK MEDICAL INC
NPI 1750387379
Internal Medicine in Arcadia, CA

Active since June 28, 2005
20 E HUNTINGTON DR, ARCADIA, CA 91006(626) 447-8000(626) 447-8002 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Live Oak Medical Inc NPPES

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

LIVE OAK MEDICAL INC (NPI 1750387379) is a healthcare organization registered as an internal medicine in Arcadia, California and active in the NPI registry since June 2005. The organization lists Jeffrey Wang, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750387379
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIVE OAK MEDICAL INC
Location Address20 E HUNTINGTON DRArcadia, CA 91006-3209
Mailing Address20 E Huntington DrArcadia, CA 91006-3209 · (626) 447-8000 · Fax (626) 447-8002
Phone(626) 447-8000
Fax(626) 447-8002
Organization SubpartNo
Authorized OfficialJeffrey WangCfo · (626) 447-8000
Enumeration DateJune 28, 2005
Last NPPES UpdateAugust 23, 2013
✔ NPI 1750387379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A50735
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
20 E HUNTINGTON DR, Arcadia, CA 91006
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120225000066Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Live Oak Medical Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ida Wang, M.D.
Internal Medicine
NPI 1164429585
20 E HUNTINGTON DR
Arcadia, CA 91006
(626) 447-8000
✔ PECOS✔ Accepts MedicareSame address

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 Live Oak Medical Inc's NPI number?

The NPI number for Live Oak Medical Inc is 1750387379. It was assigned to this organization in the NPPES registry on June 28, 2005.

Where is Live Oak Medical Inc located?

Live Oak Medical Inc is located at 20 E Huntington Dr, Arcadia, CA 91006. The listed phone number is (626) 447-8000.

What is Live Oak Medical Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Live Oak Medical Inc enrolled in Medicare?

Yes. Live Oak Medical Inc is registered in the Medicare PECOS enrollment system.

When is Live Oak Medical Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Live Oak Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Live Oak Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Live Oak Medical Inc was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.