LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION
NPI 1881210318
Clinic/Center - Federally Qualified Health Center (FQHC) in Fullerton, CA
About Livingstone Community Development Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVINGSTONE COMMUNITY DEVELOPMENT CORPORATION (NPI 1881210318), doing business as Livingstone Community Health Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Fullerton, California and active in the NPI registry since June 2020. The organization lists Kyung I. Park, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Livingstone Community Development Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Livingstone Community Development Corporation, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (12)
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 Livingstone Community Development Corporation's NPI number?
The NPI number for Livingstone Community Development Corporation is 1881210318. It was assigned to this organization in the NPPES registry on June 20, 2020. The provider is doing business as Livingstone Community Health Clinic.
Where is Livingstone Community Development Corporation located?
Livingstone Community Development Corporation is located at 111 W Bastanchury Rd Unit 1A, Fullerton, CA 92835. The listed phone number is (714) 248-9500.
What is Livingstone Community Development Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Livingstone Community Development Corporation enrolled in Medicare?
Yes. Livingstone Community Development Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Livingstone Community Development Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Livingstone Community Development Corporation. 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 Family Practice (4), Nurse Practitioner (4) and Clinical Psychologist (1). Of these, 10 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 Livingstone Community Development Corporation was last updated on June 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Livingstone Community Development Corporation · NPI 1881210318
Federally Qualified Health Center (FQHC) organization in Fullerton, California. Organization record, active in the CMS NPPES registry since June 20, 2020.
## Identity
- **NPI:** 1881210318 (Entity type: Organization)
- **Enumerated:** June 20, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Livingstone Community Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyung Park, CEO
## Practice location
- **Address:** 111 W BASTANCHURY RD, UNIT 1A, Fullerton, CA 92835-2527
- **Phone:** (714) 248-9500 · **Fax:** (714) 622-4943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (4), Clinical Psychologist (1); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881210318) · Data from the CMS NPPES public registry.