LIFELONG WILLIAM JENKINS HEALTH CENTER
NPI 1407973043
Clinic/Center - Community Health in Richmond, CA

Active since March 26, 2007CLIA 05D2180345 · Microscopy
150 HARBOUR WAY, RICHMOND, CA 94801(510) 237-9537(510) 981-4191 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2021, Nov 11, 2020 (2 updates tracked since 2020).

About Lifelong William Jenkins Health Center NPPES

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

LIFELONG WILLIAM JENKINS HEALTH CENTER (NPI 1407973043) is a healthcare organization registered as a community health in Richmond, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through March 10, 2028 and lists David B. Vliet, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407973043
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIFELONG MEDICAL CARE
Location Address150 HARBOUR WAYRichmond, CA 94801-3554
Mailing AddressPo Box 11247Berkeley, CA 94712-2247 · (510) 981-4100 · Fax (510) 981-4193
Fax(510) 981-4191
Organization SubpartYes
Authorized OfficialDavid B. VlietCeo · (510) 981-4123
Enumeration DateMarch 26, 2007
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1407973043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CA · 550000122
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
150 HARBOUR WAY, Richmond, CA 94801

Other Names 1

Other NameLifelong William Jenkins Health Center

Other Identifiers 1

MedicaidFHC71108FCA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifelong William Jenkins Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

239

Medicare enrollment records show 239 clinicians reassign Medicare billing to Lifelong William Jenkins Health Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Nurse Practitioner89
Family Practice54
Internal Medicine23
Clinical Social Worker22
Certified Nurse Midwife (CNM)9
Emergency Medicine8
Osteopathic Manipulative Medicine4
Psychiatry4
12 other specialties26

Nearest to this location (20)

See all 239
Family Practice
NPI 1730613142
150 HARBOUR WAY
Richmond, CA 94801
(510) 981-4100
✔ PECOSSame address
Nurse Practitioner
NPI 1306587183
150 HARBOUR WAY
Richmond, CA 94801
(510) 981-4100
✔ PECOSSame address
Pediatric Medicine
NPI 1598262701
150 HARBOUR WAY
Richmond, CA 94801
(510) 981-4100
✔ PECOSSame address
Family Practice
NPI 1043715816
150 HARBOUR WAY
Richmond, CA 94801
(510) 981-4100
✔ PECOSSame address
Nurse Practitioner
NPI 1659259349
150 HARBOUR WAY STE 200
Richmond, CA 94801
(510) 981-4100
✔ PECOSSame address
Emergency Medicine
NPI 1770517666
1030 NEVIN AVE
Richmond, CA 94801
(510) 981-3209
✔ PECOS0.2 mi
Clinical Social Worker
NPI 1992340830
1030 NEVIN AVE
Richmond, CA 94801
(510) 215-5001
✔ PECOS0.2 mi
Internal Medicine
NPI 1992880652
901 NEVIN AVE
Richmond, CA 94801
(510) 307-1500
✔ PECOS0.3 mi
Internal Medicine
NPI 1871667170
901 NEVIN AVE
Richmond, CA 94801
(510) 307-1500
✔ PECOS0.3 mi
Internal Medicine
NPI 1679008296
335 W BISSELL AVE
Richmond, CA 94801
(415) 400-6978
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1962767780
2600 MACDONALD AVE
Richmond, CA 94804
(510) 236-8850
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1578736328
2600 MACDONALD AVE
Richmond, CA 94804
(510) 236-8484
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1649991282
2023 VALE RD
San Pablo, CA 94806
(510) 981-4100
✔ PECOS✔ Accepts Medicare1.8 mi
Family Practice
NPI 1114186657
2023 VALE RD STE 107
San Pablo, CA 94806
(510) 215-9092
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1548697733
2023 VALE RD
San Pablo, CA 94806
(510) 215-9092
✔ PECOS1.8 mi
Family Practice
NPI 1821592759
2023 VALE RD
San Pablo, CA 94806
(510) 215-9092
✔ PECOS✔ Accepts Medicare1.8 mi
Certified Nurse Midwife (CNM)
NPI 1083062640
2023 VALE RD
San Pablo, CA 94806
(510) 215-9092
✔ PECOS1.8 mi
Clinical Social Worker
NPI 1861756074
2023 VALE RD
San Pablo, CA 94806
(510) 215-9092
✔ PECOS1.8 mi
General Practice
NPI 1396884888
BROOKSIDE COMMUNITY HEALTH CENTER 2023 VALE ROAD, SUITE 107
San Pablo, CA 94806
(510) 231-9800
✔ PECOS✔ Accepts Medicare1.8 mi
Podiatry
NPI 1346234457
1178 SAN PABLO AVE SUITE A
Berkeley, CA 94706
(510) 526-1335
✔ PECOS✔ Accepts Medicare4.9 mi
See all 239 clinicians

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2180345

Lifelong William Jenkins Health Center · Richmond, CA
Active · expires Mar 10, 2028
CLIA Number05D2180345
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorThomas Mcbride
Laboratory Phone(510) 981-3213
Laboratory LocationLifelong William Jenkins Health Center150 Harbour Way, Richmond, CA 94801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Lifelong Medical Care's NPI number?

The NPI number for Lifelong Medical Care is 1407973043. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is also known as Lifelong William Jenkins Health Center.

Where is Lifelong Medical Care located?

Lifelong Medical Care is located at 150 Harbour Way, Richmond, CA 94801. The listed phone number is (510) 237-9537.

What is Lifelong Medical Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Lifelong Medical Care enrolled in Medicare?

Yes. Lifelong Medical Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifelong Medical Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 239 clinicians in 20 Medicare specialties reassign their Medicare billing to Lifelong Medical Care. 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 Nurse Practitioner (89), Family Practice (54) and Internal Medicine (23). Of these, 5 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lifelong Medical Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2180345) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifelong Medical Care was last updated on January 19, 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.