LIVEWELL MEDICAL CLINIC INC
NPI 1770675886
Pediatrics in San Bruno, CA

Active since September 28, 2006
1150 EL CAMINO REAL, #225, SAN BRUNO, CA 94066(650) 873-3338(650) 873-3308 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Livewell Medical Clinic Inc NPPES

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

LIVEWELL MEDICAL CLINIC INC (NPI 1770675886) is a healthcare organization registered as a pediatrics in San Bruno, California and active in the NPI registry since September 2006. The organization lists Maria Luisa Osmona, President Owner, as its authorized official.

NPPES Registry Identity

NPI1770675886
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIVEWELL MEDICAL CLINIC INC
Location Address1150 EL CAMINO REAL, #225San Bruno, CA 94066
Mailing Address5528 Pacheco Blvd, Ste APacheco, CA 94553 · (925) 363-8170 · Fax (925) 363-4995
Fax(650) 873-3308
Organization SubpartNo
Authorized OfficialMaria Luisa OsmonaPresident Owner · (650) 873-3338
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1770675886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CA · G78328 Licensed in CA · A78723
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1150 EL CAMINO REAL, San Bruno, CA 94066

Other Identifiers 1

MedicaidGR0101840CA

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

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
1150 EL CAMINO REAL, SUITE #128
SAN BRUNO, CA 94066
Dentist (General Practice)
1150 EL CAMINO REAL, SUITE 128
SAN BRUNO, CA 94066
Pharmacist
1150 EL CAMINO REAL, T-1054
SAN BRUNO, CA 94066
Pharmacy
1150 EL CAMINO REAL
SAN BRUNO, CA 94066
Pharmacist
1150 EL CAMINO REAL, TARGET PHARMACY
SAN BRUNO, CA 94066

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 Livewell Medical Clinic Inc's NPI number?

The NPI number for Livewell Medical Clinic Inc is 1770675886. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Livewell Medical Clinic Inc located?

Livewell Medical Clinic Inc is located at 1150 El Camino Real #225, San Bruno, CA 94066. The listed phone number is (650) 873-3338.

What is Livewell Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Livewell Medical Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.