MASONIC HOMES OF CALIFORNIA
NPI 1114111317
Community/Behavioral Health in Union City, CA
About Masonic Homes Of California NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASONIC HOMES OF CALIFORNIA (NPI 1114111317) is a healthcare organization registered as a community/behavioral health in Union City, California and active in the NPI registry since August 2007. The organization lists Kimberly Rich, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Masonic Homes Of California is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Masonic Homes Of California, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: 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 Masonic Homes Of California's NPI number?
The NPI number for Masonic Homes Of California is 1114111317. It was assigned to this organization in the NPPES registry on August 30, 2007.
Where is Masonic Homes Of California located?
Masonic Homes Of California is located at 34400 Mission Blvd, Union City, CA 94587. The listed phone number is (510) 471-3434.
What is Masonic Homes Of California's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Masonic Homes Of California enrolled in Medicare?
Yes. Masonic Homes Of California is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Masonic Homes Of California?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Masonic Homes Of California. 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 Clinical Social Worker (6) and Marriage and Family Therapist (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Masonic Homes Of California was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Masonic Homes Of California · NPI 1114111317
Community/Behavioral Health organization in Union City, California. Organization record, active in the CMS NPPES registry since August 30, 2007.
## Identity
- **NPI:** 1114111317 (Entity type: Organization)
- **Enumerated:** August 30, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Rich, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 34400 MISSION BLVD, Union City, CA 94587-3604
- **Phone:** (510) 471-3434 · **Fax:** (510) 476-6329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Marriage and Family Therapist (6) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114111317) · Data from the CMS NPPES public registry.