OrganizationActive
Health Services Foundation
NPI 1104403864 · Licensed Vocational Nurse · Lathrop, CA
Provider details
- NPI number
- 1104403864
- Entity type
- Organization
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Richard Muto, Chairman/Board of Directors(925) 639-9017
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16960 S Harlan Rd
Lathrop, CA 95330-8738
Phone: (800) 284-3926
Street-level locationGet directions
Mailing address
4160 Dublin Blvd Ste 400
Dublin, CA 94568-7756
Registry dates
- Enumerated
- 2021-03-26
- Last updated
- 2021-03-26
- Certified
- 2021-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.