SACRAMENTO COMMUNITY CLINIC
NPI 1538180245
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Q: 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.

Q: 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.

Active since July 21, 2006CLIA 05D1035141 · Waiver

2200 DEL PASO BLVD, SACRAMENTO, CA 95815(916) 924-7988(916) 924-7989 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2022, Jan 19, 2022, Nov 29, 2019 and 1 more (4 updates tracked since 2019).

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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

NPI1538180245

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameHEALTH AND LIFE ORGANIZATION, INC.

Location Address2200 DEL PASO BLVDSacramento, CA 95815-3102

Mailing Address2200 Del Paso BlvdSacramento, CA 95815-3102 · (916) 924-7988 · Fax (916) 924-7989

Phone(916) 924-7988

Fax(916) 924-7989

Organization SubpartNo

Authorized OfficialJerry T BliatoutAdministrator · (916) 428-3788

Enumeration DateJuly 21, 2006

Last NPPES UpdateApril 21, 20224 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1538180245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedFamily MedicineTaxonomy 207Q00000X · License A36371 (CA)

2200 DEL PASO BLVD, Sacramento, CA 95815

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Other Names 1

Doing Business AsSacramento Community Clinic

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 MULTIPLE 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 05D1035141

Health And Life Organization D/B/A Sacramento Community Clinic · Sacramento, CA

Active · expires Dec 20, 2026

CLIA Number05D1035141

Laboratory TypePhysician Office

Certificate Effective DateDecember 21, 2024

Certificate Expiration DateDecember 20, 2026

Laboratory DirectorChainaronk Limanon

Laboratory Phone(916) 924-7988

Laboratory LocationHealth And Life Organization D/B/A Sacramento Community Clinic2200 Del Paso Blvd, Sacramento, CA 95815

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

TATIANA MONIQUE HURTADO PHYSICIAN ASSISTANT

Physician Assistant