NORCAL HEALTHCONNECT LLC
NPI 1205443025
Skilled Nursing Facility in Healdsburg, CA

Active since September 25, 2020CLIA 05D0691807 · Waiver
1375 UNIVERSITY AVE, HEALDSBURG, CA 95448(707) 431-6500 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2025, Dec 4, 2023, Jul 28, 2022 and 1 more (4 updates tracked since 2020).

About Norcal Healthconnect Llc NPPES

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

NORCAL HEALTHCONNECT LLC (NPI 1205443025), doing business as Healdsburg Hospital, is a healthcare organization registered as a skilled nursing facility in Healdsburg, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205443025
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORCAL HEALTHCONNECT LLC
Location Address1375 UNIVERSITY AVEHealdsburg, CA 95448-3382
Mailing AddressPo Box 31001-3085Pasadena, CA 91110-3085
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 25, 2020
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1205443025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1375 UNIVERSITY AVE, Healdsburg, CA 95448

Other Names 1

Doing Business AsHealdsburg Hospital

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Norcal Healthconnect Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Norcal Healthconnect LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Emergency Medicine12
Family Practice4
Diagnostic Radiology2
General Surgery2
Orthopedic Surgery2
Cardiovascular Disease (Cardiology)1
Clinical Social Worker1
Gastroenterology1
5 other specialties5

Nearest to this location (20)

See all 30
Pulmonary Disease
NPI 1174697783
1375 UNIVERSITY AVE
Healdsburg, CA 95448
(707) 431-6530
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1013091081
1381 UNIVERSITY ST
Healdsburg, CA 95448
(707) 433-5494
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1861809683
1375 UNIVERSITY ST
Healdsburg, CA 95448
(707) 431-6500
✔ PECOSSame address
Family Practice
NPI 1821062027
1381 UNIVERSITY AVE
Healdsburg, CA 95448
(707) 433-5494
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1073570131
1312 PRENTICE DR
Healdsburg, CA 95448
(707) 433-3383
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1629745120
1312 PRENTICE DR
Healdsburg, CA 95448
(707) 433-3383
✔ PECOS0.1 mi
General Surgery
NPI 1104015387
1540 HEALDSBURG AVE
Healdsburg, CA 95448
(707) 473-4404
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1871792382
34 MARK WEST SPRINGS RD FL 2
Santa Rosa, CA 95403
(707) 303-3600
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1275734154
401 BICENTENNIAL WAY
Santa Rosa, CA 95403
(707) 571-4000
✔ PECOS13 mi
Emergency Medicine
NPI 1780768762
401 BICENTENNIAL WAY
Santa Rosa, CA 95403
(707) 571-4000
✔ PECOS13 mi
Family Practice
NPI 1346477585
6 TARMAN DR
Cloverdale, CA 95425
(707) 894-4229
✔ PECOS14 mi
Emergency Medicine
NPI 1689626277
1165 MONTGOMERY DR
Santa Rosa, CA 95405
(707) 525-5207
✔ PECOS15 mi
Diagnostic Radiology
NPI 1720373376
121 SOTOYOME ST
Santa Rosa, CA 95405
(707) 546-4062
✔ PECOS✔ Accepts Medicare15 mi
Obstetrics/Gynecology
NPI 1083636450
900 SONOMA AVE STE 18
Santa Rosa, CA 95404
(707) 579-1102
✔ PECOS16 mi
Gastroenterology
NPI 1144284290
1210 SONOMA AVE SUITE B
Santa Rosa, CA 95405
(707) 544-5093
✔ PECOS16 mi
Podiatry
NPI 1336277730
1255 N DUTTON AVE
Santa Rosa, CA 95401
(707) 596-2660
✔ PECOS✔ Accepts Medicare16 mi
Orthopedic Surgery
NPI 1417941642
555 PETALUMA AVE STE B
Sebastopol, CA 95472
(707) 823-7602
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1912981382
10 WOODLAND RD
Saint Helena, CA 94574
(707) 963-3611
✔ PECOS22 mi
Emergency Medicine
NPI 1639189715
5176 HILL ROAD E.
Lakeport, CA 95453
(707) 262-5000
✔ PECOS33 mi
Orthopedic Surgery
NPI 1386987758
165 ROWLAND WAY STE 208
Novato, CA 94945
(415) 697-8659
✔ PECOS40 mi
See all 30 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0691807

Healdsburg Hospital, Hpg Dba Norcal Healthconnect LLC · Healdsburg, CA
Active · expires Jan 2, 2028
CLIA Number05D0691807
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorDr. Dennis A. Fito
Laboratory Phone(707) 433-3383
Laboratory LocationHealdsburg Hospital, Hpg Dba Norcal Healthconnect LLC1312 Prentice Dr, Healdsburg, CA 95448
CLIA data matches this NPI record on: Name
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 Norcal Healthconnect LLC's NPI number?

The NPI number for Norcal Healthconnect LLC is 1205443025. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Healdsburg Hospital.

Where is Norcal Healthconnect LLC located?

Norcal Healthconnect LLC is located at 1375 University Ave, Healdsburg, CA 95448. The listed phone number is (707) 431-6500.

What is Norcal Healthconnect LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Norcal Healthconnect LLC enrolled in Medicare?

Yes. Norcal Healthconnect LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Norcal Healthconnect LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 13 Medicare specialties reassign their Medicare billing to Norcal Healthconnect LLC. 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 Emergency Medicine (12), Family Practice (4) and Diagnostic Radiology (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Norcal Healthconnect LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0691807) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Norcal Healthconnect LLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.