MENDONOMA HEALTH ALLIANCE
NPI 1083330807
Case Management in Gualala, CA
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
Specialties & Licenses 2
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, CAFrequently 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.