MENDONOMA HEALTH ALLIANCE
NPI 1083330807
Case Management in Gualala, CA

Active since October 13, 2022CLIA 05D2161932 · Waiver
39251 CA-1, GUALALA, CA 95445(707) 412-3176(707) 412-3196 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Oct 13, 2022 (2 updates tracked since 2022).

About Mendonoma Health Alliance NPPES

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

MENDONOMA HEALTH ALLIANCE (NPI 1083330807) is a healthcare organization registered as a case management in Gualala, California and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Micheline Marie White, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083330807
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameMENDONOMA HEALTH ALLIANCE
Location Address39251 CA-1Gualala, CA 95445
Mailing AddressPo Box 1196Gualala, CA 95445-1196 · (707) 412-3176 · Fax (707) 412-3196
Fax(707) 412-3196
Organization SubpartNo
Authorized OfficialMicheline Marie WhiteExecutive Director · (707) 412-3176
Enumeration DateOctober 13, 2022
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
NPI 1083330807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
39251 CA-1, Gualala, CA 95445

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 of Waiver 05D2161932

Mendonoma Health Alliance · Gualala, CA
Active · expires Feb 12, 2027
CLIA Number05D2161932
Laboratory TypeIndependent
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorAmelia Randolph
Laboratory Phone(707) 412-3176
Laboratory LocationMendonoma Health Alliance39251 Ca-1, Gualala, CA 95445
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mendonoma Health Alliance's NPI number?

The NPI number for Mendonoma Health Alliance is 1083330807. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Mendonoma Health Alliance located?

Mendonoma Health Alliance is located at 39251 Ca-1, Gualala, CA 95445. The listed phone number is (707) 412-3176.

What is Mendonoma Health Alliance's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Does Mendonoma Health Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2161932) is associated with this NPI, valid through February 12, 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 Mendonoma Health Alliance was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.