Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifelong Jenkins Pediatric Center

Organization Federally Qualified Health Center (FQHC) · NPI 1407109622

Lifelong Jenkins Pediatric Center is a Federally Qualified Health Center (FQHC) in Richmond, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

120 Broadway Ste 4
Richmond, CA 94804-1938
Phone: (510) 237-9537
Fax: (510) 237-3957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1407109622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rick Clark — Chief Financial Officer · (510) 981-4122
NPI enumeratedOctober 25, 2012
Last updated in NPPESOctober 25, 2012
Mailing addressPo Box 11247, Berkeley, CA 94712-2247

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