Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Fargo Michael Livingston, BA

Individual provider Community Health Worker · NPI 1740562081

Mr. Fargo Michael Livingston, BA is a Community Health Worker in Venice, California. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

717 Lincoln Blvd
Venice, CA 90291-2845
Phone: (310) 399-9883
Fax: (131) 039-9967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1740562081
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011

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