RAVENSWOOD FAMILY HEALTH CENTER AT BELLE HAVEN
NPI 1073640918
Clinic/Center - Primary Care in Menlo Park, CA

Q: What is South County Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 27, 2007CLIA 05D0955807 · Microscopy

100 TERMINAL AVE, MENLO PARK, CA 94025(650) 321-0980(650) 321-0988 Get Directions Write a Review

NPPES record last updated: October 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ravenswood Family Health Center At Belle Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVENSWOOD FAMILY HEALTH CENTER AT BELLE HAVEN (NPI 1073640918) is a healthcare organization registered as a primary care in Menlo Park, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through January 10, 2027 and lists Wayne Yost, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073640918

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSOUTH COUNTY COMMUNITY HEALTH CENTER, INC.

Location Address100 TERMINAL AVEMenlo Park, CA 94025-1246

Mailing Address1798 A Bay RdEast Palo Alto, CA 94303-1611 · (650) 330-7400 · Fax (650) 321-1560

Phone(650) 321-0980

Fax(650) 321-0988

Organization SubpartNo

Authorized OfficialWayne YostChief Financial Officer · (650) 330-7407

Enumeration DateFebruary 27, 2007

Last NPPES UpdateOctober 1, 2008

✔ NPI 1073640918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

100 TERMINAL AVE, Menlo Park, CA 94025

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Other Names 1

Doing Business AsRavenswood Family Health Center At Belle Haven

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0955807

South County Community Health Center Dba Ravenswood Family Health Center · East Palo Alto, CA

Active · expires Jan 10, 2027

CLIA Number05D0955807

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJanuary 11, 2025

Certificate Expiration DateJanuary 10, 2027

Laboratory DirectorJaime Chavarria, MD

Laboratory Phone(650) 289-7613

Laboratory LocationSouth County Community Health Center Dba Ravenswood Family Health Center1885 Bay Rd, East Palo Alto, CA 94303

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAPNA DALAL MD

Family Medicine

100 TERMINAL AVE
MENLO PARK, CA 94025

San Mateo County (650) 321-0980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South County Community Health Center, Inc.'s NPI number?

The NPI number for South County Community Health Center, Inc. is 1073640918. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Ravenswood Family Health Center At Belle Haven.

Where is South County Community Health Center, Inc. located?

South County Community Health Center, Inc. is located at 100 Terminal Ave, Menlo Park, CA 94025. The listed phone number is (650) 321-0980.

What is South County Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does South County Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0955807) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South County Community Health Center, Inc. was last updated on October 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.