Organization Active NPI

Health Services Foundation

  • Licensed Vocational Nurse
  • Lathrop, CA
National Provider Identifier
1104403864
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
Legal business name
HEALTH SERVICES FOUNDATION
Practice address
16960 S Harlan Rd
Lathrop, CA 95330-8738
Phone
(800) 284-3926
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Muto
Title
Chairman/Board of Directors
Phone
(925) 639-9017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X Primary

Addresses

Primary practice location

16960 S Harlan Rd
Lathrop, CA 95330-8738

Mailing address

4160 Dublin Blvd Ste 400
Dublin, CA 94568-7756
Phone (925) 321-6039

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0599552Health Services Foundation Laboratory16960 S Harlan Rd Ste 2, Lathrop, CA 95330Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

4160 Dublin Blvd
Ste 400
Dublin, CA 94568

16960 S Harlan Rd
Lathrop, CA 95330
Phone (800) 284-3926

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1104403864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 DUBLIN BLVD STE 400",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687756",
            "telephone_number": "925-321-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 S HARLAN RD",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308738",
            "telephone_number": "800-284-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "MUTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHAIRMAN/BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "925-639-9017"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.