REDDING RANCHERIA
NPI 1104859354
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA
About Redding Rancheria NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REDDING RANCHERIA (NPI 1104859354) is a healthcare organization registered as a federally qualified health center (fqhc) in Redding, California and active in the NPI registry since July 2006. The organization lists Lori Hernandez, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Redding Rancheria is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Redding Rancheria, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 54Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Redding Rancheria's NPI number?
The NPI number for Redding Rancheria is 1104859354. It was assigned to this organization in the NPPES registry on July 9, 2006.
Where is Redding Rancheria located?
Redding Rancheria is located at 1441 Liberty St, Redding, CA 96001. The listed phone number is (530) 226-1753.
What is Redding Rancheria's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Redding Rancheria enrolled in Medicare?
Yes. Redding Rancheria is registered in the Medicare PECOS enrollment system.
When is Redding Rancheria's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Redding Rancheria?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 16 Medicare specialties reassign their Medicare billing to Redding Rancheria. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Family Practice (12) and Clinical Social Worker (10). Of these, 14 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Redding Rancheria was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Redding Rancheria · NPI 1104859354
Federally Qualified Health Center (FQHC) organization in Redding, California. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1104859354 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Lori Hernandez, BILLING MANAGER
## Practice location
- **Address:** 1441 LIBERTY ST, Redding, CA 96001-0811
- **Phone:** (530) 226-1753 · **Fax:** (530) 224-2723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 54 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (12), Clinical Social Worker (10); 14 practice at this address and 39 within 10 miles; [full list](https://npiprofile.com/npi/1104859354/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
- **Other identifiers:** Medicaid THP70489F (CA); Medicaid HAP70489F (CA); Medicaid BCP70489F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104859354) · Data from the CMS NPPES public registry.