SACRAMENTO COMMUNITY CLINIC - ASSEMBLY COURT
NPI 1295044832
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
About Sacramento Community Clinic - Assembly Court NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SACRAMENTO COMMUNITY CLINIC - ASSEMBLY COURT (NPI 1295044832) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Jerry T Bliatout, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sacramento Community Clinic - Assembly Court is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Sacramento Community Clinic - Assembly Court, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (14)
Sacramento, CA 95823
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 05D2267740
Sacramento Community Clinic - El Camino · Sacramento, CACertificate of Waiver 05D2301232
Sacramento Community Clinic B Teri Burns · Sacramento, CACertificate of Waiver 05D2312732
Sacramento Community Clinic - Sunrise · Rancho Cordova, CAFrequently 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 And Life Organization, Inc.'s NPI number?
The NPI number for Health And Life Organization, Inc. is 1295044832. It was assigned to this organization in the NPPES registry on September 30, 2010. The provider is doing business as Sacramento Community Clinic - Assembly Court.
Where is Health And Life Organization, Inc. located?
Health And Life Organization, Inc. is located at 5524 Assembly Ct, Sacramento, CA 95823. The listed phone number is (916) 642-1867.
What is Health And Life Organization, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Health And Life Organization, Inc. enrolled in Medicare?
Yes. Health And Life Organization, Inc. is registered in the Medicare PECOS enrollment system.
When is Health And Life Organization, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Health And Life Organization, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Health And Life Organization, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Nurse Practitioner (3) and Oral Surgery (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Health And Life Organization, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Health And Life Organization, Inc. was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sacramento Community Clinic - Assembly Court · NPI 1295044832
Federally Qualified Health Center (FQHC) organization in Sacramento, California. Organization record, active in the CMS NPPES registry since September 30, 2010.
## Identity
- **NPI:** 1295044832 (Entity type: Organization)
- **Enumerated:** September 30, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Health And Life Organization, Inc.
- **Organization subpart:** No
- **Authorized official:** Jerry Bliatout, CEO
## Practice location
- **Address:** 5524 ASSEMBLY CT, Sacramento, CA 95823-2625
- **Phone:** (916) 642-1867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (3), Oral Surgery (3); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2011
- **Other identifiers:** Other 1740336734 (CA); Other 1699082867 (CA); Other 1538180245 (CA)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295044832) · Data from the CMS NPPES public registry.