HEALTHY LIVING CLINIC
NPI 1609111830
Clinic/Center - Health Service in Pinole, CA

Active since November 28, 2012
1063 SAN PABLO AVE STE B, PINOLE, CA 94564(510) 964-9275(888) 804-1432 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2016, Jun 24, 2016, May 19, 2016 (3 updates tracked since 2016).

About Healthy Living Clinic NPPES

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

HEALTHY LIVING CLINIC (NPI 1609111830) is a healthcare organization registered as a health service in Pinole, California and active in the NPI registry since November 2012. The organization lists Yvonne Carlisa Cobbs, Partner, as its authorized official.

NPPES Registry Identity

NPI1609111830
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCLAUDELL STEPHENS MD AND YVONNE COBBS NP MEDICAL PRACTICES
Location Address1063 SAN PABLO AVE STE BPinole, CA 94564-2473
Mailing Address1063 San Pablo Ave Ste BPinole, CA 94564-2473 · (510) 964-9275 · Fax (888) 804-1432
Fax(888) 804-1432
Organization SubpartNo
Authorized OfficialYvonne Carlisa CobbsPartner · (510) 964-9275
Enumeration DateNovember 28, 2012
Last NPPES UpdateJune 27, 20163 updates tracked since enumeration
✔ NPI 1609111830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CA · G34895
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NP11980 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP11980 (CA)
1063 SAN PABLO AVE STE B, Pinole, CA 94564

Other Names 1

Other NameHealthy Living Clinic

Other Identifiers 2

Medicare UPING34895CA
Medicare UPINNP11980CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Healthy Living Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140723002857Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Healthy Living Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1578527842
1063 SAN PABLO AVE SUITE B
Pinole, CA 94564
(510) 964-9275
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437240850
1617 CANYON RD SUITE 301
Pinole, CA 94564
(925) 753-1986
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1356495261
700 ADELINE ST
Oakland, CA 94607
(510) 835-9610
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Claudell Stephens MD And Yvonne Cobbs Np Medical Practices's NPI number?

The NPI number for Claudell Stephens MD And Yvonne Cobbs Np Medical Practices is 1609111830. It was assigned to this organization in the NPPES registry on November 28, 2012. The provider is also known as Healthy Living Clinic.

Where is Claudell Stephens MD And Yvonne Cobbs Np Medical Practices located?

Claudell Stephens MD And Yvonne Cobbs Np Medical Practices is located at 1063 San Pablo Ave Ste B, Pinole, CA 94564. The listed phone number is (510) 964-9275.

What is Claudell Stephens MD And Yvonne Cobbs Np Medical Practices's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Claudell Stephens MD And Yvonne Cobbs Np Medical Practices enrolled in Medicare?

Yes. Claudell Stephens MD And Yvonne Cobbs Np Medical Practices is registered in the Medicare PECOS enrollment system.

When is Claudell Stephens MD And Yvonne Cobbs Np Medical Practices'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 November 30, 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 Claudell Stephens MD And Yvonne Cobbs Np Medical Practices?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Claudell Stephens MD And Yvonne Cobbs Np Medical Practices, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Claudell Stephens MD And Yvonne Cobbs Np Medical Practices was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.