SACRAMENTO COMMUNITY CLINIC
NPI 1538180245
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
About Sacramento Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SACRAMENTO COMMUNITY CLINIC (NPI 1538180245) is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Jerry T Bliatout, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
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 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, 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
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 05D1035141
Health And Life Organization D/B/A Sacramento Community Clinic · Sacramento, 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 1538180245. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Sacramento Community Clinic.
Where is Health And Life Organization, Inc. located?
Health And Life Organization, Inc. is located at 2200 Del Paso Blvd, Sacramento, CA 95815. The listed phone number is (916) 924-7988.
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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1035141) is associated with this NPI, valid through December 20, 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 And Life Organization, Inc. was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 · NPI 1538180245
Federally Qualified Health Center (FQHC) organization in Sacramento, California. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1538180245 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **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, ADMINISTRATOR
## Practice location
- **Address:** 2200 DEL PASO BLVD, Sacramento, CA 95815-3102
- **Phone:** (916) 924-7988 · **Fax:** (916) 924-7989
## 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 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538180245) · Data from the CMS NPPES public registry.