Livingstone Community Health Clinic - Medicare Primary Care in Stanton, CA

Livingstone Community Health Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Stanton, California. The current practice location for Livingstone Community Health Clinic is 12362 Beach Blvd Ste 10, Stanton, California. For appointments, you can reach them via phone at (714) 248-9500. The mailing address for Livingstone Community Health Clinic is 12362 Beach Blvd Ste 10, Stanton, California and phone number is (714) 248-9500.

Livingstone Community Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952662686. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 248-9500.

Contact Information

Livingstone Community Health Clinic
12362 Beach Blvd Ste 10
Stanton
CA 90680-3944
(714) 248-9500
(714) 622-4943

Map and Direction


Primary Care Clinic Profile

Full NameLivingstone Community Health Clinic
SpecialityClinic/Center
Location12362 Beach Blvd Ste 10, Stanton, California
Authorized Official Name and PositionKyung I. Park (CEO)
Authorized Official Contact7142489500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Livingstone Community Health Clinic
12362 Beach Blvd Ste 10
Stanton
CA 90680-3944

Ph: (714) 248-9500
Livingstone Community Health Clinic
12362 Beach Blvd Ste 10
Stanton
CA 90680-3944

Ph: (714) 248-9500

NPI Details:

NPI Number1952662686
Provider Enumeration Date05/29/2012
Last Update Date06/20/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9931323706
Medicare Enrollment IDO20140724002386

Medical Identifiers

Medical identifiers for Livingstone Community Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952662686NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Livingstone Community Health Clinic acts as a billing entity for following providers:
Provider NameKyung I Park
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1942210570
PECOS PAC ID: 4486549656
Enrollment ID: I20040217000551
Provider NameMichael C Bang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366571309
PECOS PAC ID: 7012981251
Enrollment ID: I20040823001430
Provider NameClarke R Lew
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1194768077
PECOS PAC ID: 6901864719
Enrollment ID: I20041227000736
Provider NameInil L Lin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942395983
PECOS PAC ID: 1951323013
Enrollment ID: I20060103000775
Provider NameAvni Pandya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417078999
PECOS PAC ID: 9537248646
Enrollment ID: I20111101000086
Provider NameNicholas S C Lee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1194732347
PECOS PAC ID: 2668617978
Enrollment ID: I20130314000143
Provider NameKathryn Han Koo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356821060
PECOS PAC ID: 3274890181
Enrollment ID: I20181025001874
Provider NameHyehyun J Park
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679097166
PECOS PAC ID: 3274957741
Enrollment ID: I20200717000588
Provider NameCollin Sakae Yamaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508517517
PECOS PAC ID: 8123410248
Enrollment ID: I20220124001556
Provider NameWayne W Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619987054
PECOS PAC ID: 1557335387
Enrollment ID: I20220928002700
Provider NameTae Yoon Won
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356035653
PECOS PAC ID: 5799145678
Enrollment ID: I20230724004056
Provider NameAnna Heeyoung Jang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184340333
PECOS PAC ID: 8426402314
Enrollment ID: I20230926003536
Provider NameAna Sayuri Beltran De Gelera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730951419
PECOS PAC ID: 2062852007
Enrollment ID: I20240424003313

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.