Peach Tree Healthcare
NPI 1316096894 · Federally Qualified Health Center (FQHC) · Live Oak, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peach Tree Healthcare is a Federally Qualified Health Center (FQHC) organization in Live Oak, CA (NPI 1316096894).
Provider details
- NPI number
- 1316096894
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Greg Stone, Ceo(530) 741-6245
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Live Oak Medical Clinic
- Doing business as
- Live Oak Medical Clinic
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2022-05-23
- Certified
- 2022-05-23
Frequently asked questions
- What is Peach Tree Healthcare's NPI number?
- Peach Tree Healthcare's National Provider Identifier (NPI) is 1316096894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach Tree Healthcare?
- Peach Tree Healthcare is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Peach Tree Healthcare located?
- Peach Tree Healthcare's practice location on file with NPPES is 9980 Live Oak Blvd, Live Oak, CA 95953-2334.
- What is Peach Tree Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Peach Tree Healthcare is (530) 749-3242.
- Does Peach Tree Healthcare accept Medicare?
- Peach Tree Healthcare is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peach Tree Healthcare?
- The authorized official listed on Peach Tree Healthcare's NPPES record is Greg Stone, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach Tree Healthcare's NPI active?
- Yes — Peach Tree Healthcare's NPI (1316096894) is active in the NPPES registry as of the last update on 2022-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.