LIVE OAK MEDICAL CLINIC
NPI 1912165887
Family Medicine in Marysville, CA

Active since May 28, 2008
5730 PACKARD AVE, STE 600, MARYSVILLE, CA 95901(530) 741-6245(530) 743-5044 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Live Oak Medical Clinic NPPES

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

LIVE OAK MEDICAL CLINIC (NPI 1912165887) is a healthcare organization registered as a family medicine in Marysville, California and active in the NPI registry since May 2008. The organization lists Joseph M Coulter, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912165887
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePEACH TREE CLINIC INC
Location Address5730 PACKARD AVE, STE 600Marysville, CA 95901-7118
Mailing Address5730 Packard Ave, Ste 600Marysville, CA 95901-7118 · (530) 741-6245 · Fax (530) 743-5044
Fax(530) 743-5044
Organization SubpartYes
Authorized OfficialJoseph M CoulterExecutive Director · (530) 741-6245
Enumeration DateMay 28, 2008
NPI 1912165887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5730 PACKARD AVE, Marysville, CA 95901

Other Names 1

Doing Business AsLive Oak Medical Clinic

Other Identifiers 1

Medicaid1316096894CA

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

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
5730 PACKARD AVE, SUITE 500
MARYSVILLE, CA 95901
Registered Nurse (Case Management)
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
Case Manager/Care Coordinator
5730 PACKARD AVE
MARYSVILLE, CA 95901
Registered Nurse (Community Health)
5730 PACKARD AVE
MARYSVILLE, CA 95901
Registered Nurse
5730 PACKARD AVE, STE 100
MARYSVILLE, CA 95901
Registered Nurse
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
Registered Nurse (Case Management)
5730 PACKARD AVE, SUITE 100
MARYSVILLE, CA 95901
Registered Nurse (General Practice)
5730 PACKARD AVE
MARYSVILLE, CA 95901

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 Peach Tree Clinic Inc's NPI number?

The NPI number for Peach Tree Clinic Inc is 1912165887. It was assigned to this organization in the NPPES registry on May 28, 2008. The provider is doing business as Live Oak Medical Clinic.

Where is Peach Tree Clinic Inc located?

Peach Tree Clinic Inc is located at 5730 Packard Ave Ste 600, Marysville, CA 95901. The listed phone number is (530) 741-6245.

What is Peach Tree Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peach Tree Clinic Inc was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.