Richmond, California, has been a pioneer in developing neighborhood-based, built environment interventions that aim to improve multiple determinants of health and reduce health inequalities for its diverse urban population. Projects such as the renovation of Pogo Park and the development of the RYSE commons have involved community participation, with the ultimate aim of developing healthy urban spaces. In many ways, Richmond has led the way on healthy urban planning and policy that is responsive to community needs. This chapter discusses the work being conducted in Richmond, highlighting challenges and opportunities for lessons that can inform urban health efforts worldwide.