NPIMap

Organization Active NPI

Health and Life Organization, Inc.

Doing business as Sacramento Community Clinic - El Camino

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
National Provider Identifier
1427715515
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH AND LIFE ORGANIZATION, INC.
Doing business as
Sacramento Community Clinic - El Camino
Practice address
965 El Camino Ave
Sacramento, CA 95815-2530
Phone
(916) 642-1867
NPI assigned
Nov 23, 2021
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Albert Moua
Title
Chief Operations Officer
Phone
(916) 642-1867

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Chiropractor 111N00000X
Dentist 122300000X
General Practice Dentistry 1223G0001X
Dental Hygienist 124Q00000X
Acupuncturist 171100000X
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

965 El Camino Ave
Sacramento, CA 95815-2530

Mailing address

3030 Explorer Dr
Sacramento, CA 95827-2728
Phone (916) 642-1867

Other practice location 1

7275 E Southgate Dr Ste 106
Sacramento, CA 95823-2610
Phone (916) 642-1867

Other practice location 2

4986 Watt Ave Ste D
North Highlands, CA 95660-5182
Phone (916) 642-1867

Other practice location 3

5200 Stockton Blvd Ste 110
Sacramento, CA 95820-5492
Phone (916) 642-1867

Other practice location 4

2485 Sunrise Blvd Ste A
Gold River, CA 95670-4344
Phone (916) 642-1867

Other practice location 5

7215 55th St
Sacramento, CA 95823-2659
Phone (916) 612-2529

Other practice location 6

3030 Explorer Dr
Sacramento, CA 95827-2728
Phone (916) 642-1867

Other practice location 7

7215 55th St Ste B
Sacramento, CA 95823-2660
Phone (916) 642-1867

Other practice location 8

5524 Assembly Ct
Sacramento, CA 95823-2625
Phone (916) 642-1867

Other practice location 9

2200 Del Paso Blvd
Sacramento, CA 95815-3102
Phone (916) 642-1867

Other names 1

  • Sacramento Community Clinic - El Camino Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20110308000291 CA Part B Supplier - Clinic/Group Practice 1153361886 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, CA
O20221107003016 CA Part A Provider - Federally Qualified Health Center (FQHC) 1153361886 Practice locations: Sacramento, CA
O20230607003131 CA Part A Provider - Federally Qualified Health Center (FQHC) 1153361886 1 other NPI on this enrollment
Practice locations: Sacramento, CA
O20251103000718 CA Part A Provider - Federally Qualified Health Center (FQHC) 1153361886 Practice locations: Rancho Cordova, CA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1427715515. Details of each certification follow.

Federally qualified health center certification: CCN A01120

Legal name
HEALTH AND LIFE ORGANIZATION, INC
Doing business as
SACRAMENTO COMMUNITY CLINIC - EL CAMINO
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 2, 2022
Last certification
Nov 2, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 2003 in CA
Enrollment address
965 El Camino Ave
Sacramento, CA 95815-2530

Federally qualified health center certification: CCN A01153

Legal name
HEALTH AND LIFE ORGANIZATION, INC
Doing business as
SACRAMENTO COMMUNITY CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 4, 2023
Last certification
May 4, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
5524 Assembly CT
Sacramento, CA 95823-2625

Federally qualified health center certification: CCN A11003

Legal name
HEALTH AND LIFE ORGANIZATION, INC
Doing business as
SACRAMENTO COMMUNITY CLINIC - SUNRISE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 3, 2025
Last certification
Nov 3, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2485 Sunrise Blvd
Ste a
Rancho Cordova, CA 95670-4344

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
05D2267740Sacramento Community Clinic - El Camino965 El Camino Ave, Sacramento, CA 95815Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Health and Life Organization Inc Halo11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

3301 Fong Ranch Rd
Sacramento, CA 95834
Phone (916) 642-1885

3314 Fong Ranch Rd
Sacramento, CA 95834

7275 E Southgate Dr
Ste 204206
Sacramento, CA 95823
Phone (916) 428-3788

965 El Camino Ave
Sacramento, CA 95815
Phone 9166421867 ext. 79003

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bruce Her Individual Corporate DirectorDirector Oct 1, 2015
Corporate DirectorBoard of Director Oct 1, 2015
Corporate DirectorSecretary Dec 9, 2016
Steven Vang Individual Corporate DirectorDirector Apr 1, 2023
Corporate DirectorBoard of Director Mar 10, 2023
Steven Narine Individual Corporate DirectorDirector May 1, 2022
Corporate DirectorBoard of Director Mar 21, 2022
Albert Moua Individual Corporate Officer Dec 1, 2016
Corporate OfficerCoo Feb 1, 2011
Jerry Bliatout Individual Corporate OfficerChief Executive Officer Dec 1, 2003 100%
W-2 Managing EmployeeCeo Dec 1, 2003 100%
Corporate OfficerCeo Aug 2, 2004 100%
Operational/Managerial ControlCeo Aug 2, 2004 100%
Corporate OfficerCeo Dec 1, 2003 100%
Anita Charles Individual Corporate DirectorDirector Apr 1, 2015
Corporate DirectorBoard of Director Apr 1, 2015
Corporate DirectorDirector Jun 17, 2015
Sabrina Barnes Individual Corporate DirectorDirector Dec 1, 2009
Corporate DirectorBoard of Director Dec 1, 2009
Corporate DirectorVice Chair Jul 14, 2007
Sylvia Sanderford Individual Corporate Director Aug 1, 2023
Corporate DirectorDirector Aug 1, 2023
Meneu Yang Individual Corporate Director Dec 18, 2023
Corporate DirectorDirector Dec 18, 2023
Chua Her Individual Corporate DirectorDirector Apr 1, 2014
Corporate DirectorBoard of Director Apr 1, 2014
Corporate DirectorTreasury Feb 27, 2014
Mai Vang Individual Corporate DirectorDirector Dec 1, 2022
Corporate DirectorBoard of Director Oct 14, 2022
Thang Yang Individual Corporate DirectorDirector May 1, 2022
Corporate Director May 1, 2022
Bobby Bliatout Individual Corporate Officer Dec 1, 2003
Corporate OfficerCfo Jan 27, 2011
Stephen Lakos Individual Corporate DirectorDirector Sep 1, 2007
Corporate DirectorBoard of Director Sep 1, 2007
Corporate DirectorChair Sep 1, 2007

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sacramento Community Clinic - B. Teri Burns ClinicSacramento, CA, CCN 051958 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 19, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1427715515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 EXPLORER DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272728",
            "telephone_number": "916-642-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152530",
            "telephone_number": "916-642-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7275 E Southgate Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232610",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4986 Watt Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956605182",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Stockton Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958205492",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "fax_number": "844-491-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2485 Sunrise Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gold River",
            "state": "CA",
            "postal_code": "956704344",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "fax_number": "844-491-6066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 55th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232659",
            "country_code": "US",
            "telephone_number": "916-612-2529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Explorer Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958272728",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 55th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232660",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5524 Assembly Ct",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232625",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Del Paso Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958153102",
            "country_code": "US",
            "telephone_number": "916-642-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH AND LIFE ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "916-642-1867"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Community Clinic - El Camino",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacramento Community Clinic - El Camino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.