Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lively Virtual Care Organization PC

Organization Family Medicine Physician · NPI 1447938683

Lively Virtual Care Organization PC is a Family Medicine Physician in Roseville, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
7
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Ben Ezra Ave
Roseville, CA 95678-2702
Phone: (916) 235-8617
Fax: (916) 846-9463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 Ben Ezra Ave, Roseville, CA 95678-2702 — (916) 622-3609

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X
Family Medicine Physician Taxonomy 207Q00000X
Home Health Agency Taxonomy 251E00000X
Early Intervention Provider Agency Taxonomy 252Y00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Clinic/Center Taxonomy 261Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1447938683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Kocsis — Ceo · (916) 622-3609
Other names Lively Virtual Care Organization Pc; Lively Virtual Care Organization Pc
NPI enumeratedJuly 7, 2023
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing addressPo Box 604, Roseville, CA 95661-0604

Other providers in Roseville