1. Home
  2. Directory
  3. California
  4. Waterford
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUMIRA HEALTHCARE
NPI 1528433588
Clinic/Center - Federally Qualified Health Center (FQHC) in Waterford, CA

Active since December 02, 2015
12619 BENTLEY ST, WATERFORD, CA 95386(209) 442-6200(209) 394-9093 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Aug 1, 2017, Dec 17, 2015 and 1 more (4 updates tracked since 2015).

About Lumira Healthcare NPPES

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

LUMIRA HEALTHCARE (NPI 1528433588), doing business as Bentley Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Waterford, California and active in the NPI registry since December 2015. The organization lists Leslie Abasta-cummings, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1528433588
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLUMIRA HEALTHCARE
Location Address12619 BENTLEY STWaterford, CA 95386-9011
Mailing Address600 B St Bldg A-cLivingston, CA 95334-9593 · (209) 850-3500 · Fax (209) 850-3499
Phone(209) 442-6200
Fax(209) 394-9093
Organization SubpartNo
Authorized OfficialLeslie Abasta-cummingsChief Executive Officer · (209) 850-3500
Enumeration DateDecember 2, 2015
Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1528433588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
12619 BENTLEY ST, Waterford, CA 95386
Open in Google Maps ↗

Other Names 2

Doing Business AsBentley Health Center
Doing Business AsWaterford Bentley St Center

Other Identifiers 1

Other751901CA · Medicare Oscar/certification

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MELISSA RENEE BARCELOS FNP
Nurse Practitioner (Family)
12619 BENTLEY ST
WATERFORD, CA 95386
Stanislaus County (833) 850-3500

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 Lumira Healthcare's NPI number?

The NPI number for Lumira Healthcare is 1528433588. It was assigned to this organization in the NPPES registry on December 2, 2015. The provider is doing business as Bentley Health Center and Waterford Bentley St Center.

Where is Lumira Healthcare located?

Lumira Healthcare is located at 12619 Bentley St, Waterford, CA 95386. The listed phone number is (209) 442-6200.

What is Lumira Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lumira Healthcare was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.