PEACH TREE HEALTHCARE
PEACH TREE HEALTHCARE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1316096894, based in Live Oak, CA. The organization lists 5 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 9980 LIVE OAK BLVD, Live Oak, CA 95953. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 550000248 | CA | Federally Qualified Health Center (FQHC) primary |
| C51576 | CA | Family Medicine Physician |
| A93985 | CA | Obstetrics & Gynecology Physician |
| 14503TLG | CA | Optometrist |
This provider holds licence 550000248 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Federally Qualified Health Center (fqhc)
- PAC ID
- 7416978440
- Enrollment ID
- O20051219000014
Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 550000248 | CA | primary |
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 207Q00000X | Family Medicine Physician | C51576 | CA | |
| 207V00000X | Obstetrics & Gynecology Physician | A93985 | CA | |
| 152W00000X | Optometrist | 14503TLG | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1316096894 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 10, 2007 |
| Last updated | May 23, 2022 |
| Status | Active |
| Practice address |
9980 LIVE OAK BLVD Live Oak, CA 95953 (530) 749-3242 Fax (530) 749-3248 |
| Mailing address |
1114 YUBA ST STE 220 Marysville, CA 95901 |
| Other identifiers |
FHC71147F
· Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 0 | 9 | 6 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 0 | 9 | 3 | 8 | 9 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.