Physician Compare National (NPI:1679730956)

HEALTHCARE PROVIDER: RAQUEL LIVONI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679730956
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739377656
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101220000520
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIVONI
	Individual professional last name
Provider First Name	RAQUEL
	Individual professional first name
Provider Middle Name	ROSE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6500 COYLE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 5
	Group Practice or individual's line 2 address
City	CARMICHAEL
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956080301
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9168531155
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y