Lifelong Jenkins Pediatric Center
NPI 1407109622 · Federally Qualified Health Center (FQHC) · Richmond, CA
Lifelong Jenkins Pediatric Center is a Federally Qualified Health Center (FQHC) organization in Richmond, CA (NPI 1407109622).
Provider details
- NPI number
- 1407109622
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rick Clark, Chief Financial Officer(510) 981-4122
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-10-25
- Last updated
- 2012-10-25
Frequently asked questions
- What is Lifelong Jenkins Pediatric Center's NPI number?
- Lifelong Jenkins Pediatric Center's National Provider Identifier (NPI) is 1407109622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifelong Jenkins Pediatric Center?
- Lifelong Jenkins Pediatric Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Lifelong Jenkins Pediatric Center located?
- Lifelong Jenkins Pediatric Center's practice location on file with NPPES is 120 Broadway, Richmond, CA 94804-1938.
- What is Lifelong Jenkins Pediatric Center's phone number?
- The practice phone number listed in the NPPES registry for Lifelong Jenkins Pediatric Center is (510) 237-9537.
- Who is the authorized official for Lifelong Jenkins Pediatric Center?
- The authorized official listed on Lifelong Jenkins Pediatric Center's NPPES record is Rick Clark, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifelong Jenkins Pediatric Center's NPI active?
- Yes — Lifelong Jenkins Pediatric Center's NPI (1407109622) is active in the NPPES registry as of the last update on 2012-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.