1. Home
  2. Directory
  3. California
  4. Lathrop
  5. Licensed Vocational Nurse
  6. NPI Profile

HEALTH SERVICES FOUNDATION
NPI 1104403864
Licensed Vocational Nurse in Lathrop, CA

Active since March 26, 2021CLIA 05D0599552 · Waiver
16960 S HARLAN RD, LATHROP, CA 95330(800) 284-3926 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Health Services Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH SERVICES FOUNDATION (NPI 1104403864) is a healthcare organization registered as a licensed vocational nurse in Lathrop, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard Muto, Chairman/board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1104403864
Entity TypeOrganization
Primary Taxonomy164X00000X
Legal Business NameHEALTH SERVICES FOUNDATION
Location Address16960 S HARLAN RDLathrop, CA 95330-8738
Mailing Address4160 Dublin Blvd Ste 400Dublin, CA 94568-7756 · (925) 321-6039
Phone(800) 284-3926
Organization SubpartNo
Authorized OfficialRichard MutoChairman/board Of Directors · (925) 639-9017
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1104403864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
16960 S HARLAN RD, Lathrop, CA 95330
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0599552

Health Services Foundation Laboratory · Lathrop, CA
Active · expires Aug 31, 2026
CLIA Number05D0599552
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJerry Reeves
Laboratory Phone(209) 825-1362
Laboratory LocationHealth Services Foundation Laboratory16960 S Harlan Rd Ste 2, Lathrop, CA 95330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Services Foundation's NPI number?

The NPI number for Health Services Foundation is 1104403864. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Health Services Foundation located?

Health Services Foundation is located at 16960 S Harlan Rd, Lathrop, CA 95330. The listed phone number is (800) 284-3926.

What is Health Services Foundation's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Does Health Services Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0599552) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Services Foundation was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.