LIVINGSTONE COMMUNITY HEALTH CLINIC
NPI 1952662686
Clinic/Center - Federally Qualified Health Center (FQHC) in Stanton, CA
About Livingstone Community Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVINGSTONE COMMUNITY HEALTH CLINIC (NPI 1952662686) is a healthcare organization registered as a federally qualified health center (fqhc) in Stanton, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Kyung I. Park, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 Health Clinic 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 Health Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 11 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2052364
Livingstone Community Health Clinic · Stanton, CAFrequently 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 1952662686. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Livingstone Community Health Clinic.
Where is Livingstone Community Development Corporation located?
Livingstone Community Development Corporation is located at 12362 Beach Blvd Ste 10, Stanton, CA 90680. 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, 6 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Livingstone Community Development Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2052364) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 Health Clinic · NPI 1952662686
Federally Qualified Health Center (FQHC) organization in Stanton, California. Organization record, active in the CMS NPPES registry since May 29, 2012.
## Identity
- **NPI:** 1952662686 (Entity type: Organization)
- **Enumerated:** May 29, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Livingstone Community Development Corporation
- **Organization subpart:** No
- **Authorized official:** Kyung Park, CEO
## Practice location
- **Address:** 12362 BEACH BLVD STE 10, Stanton, CA 90680-3944
- **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); 6 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952662686) · Data from the CMS NPPES public registry.