AMPLA HEALTH RICHLAND MEDICAL
NPI 1255350351
Clinic/Center - Federally Qualified Health Center (FQHC) in Yuba City, CA

Active since July 19, 2006CLIA 05D0873404 · Microscopy
355 SAMUEL DR, YUBA CITY, CA 95991(530) 674-9200(530) 674-5667 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2022, Aug 12, 2021, Sep 28, 2020 and 1 more (4 updates tracked since 2020).

About Ampla Health Richland Medical NPPES

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

AMPLA HEALTH RICHLAND MEDICAL (NPI 1255350351) is a healthcare organization registered as a federally qualified health center (fqhc) in Yuba City, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through July 22, 2027 and lists Benjamin Flores, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1255350351
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAMPLA HEALTH
Location Address355 SAMUEL DRYuba City, CA 95991-6324
Mailing AddressP.o. Box AdYuba City, CA 95992-1396 · (530) 751-3778 · Fax (530) 751-1237
Fax(530) 674-5667
Organization SubpartNo
Authorized OfficialBenjamin FloresCeo/president · (530) 751-3778
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 29, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1255350351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 230000189
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
355 SAMUEL DR, Yuba City, CA 95991

Other Names 1

Other NameAmpla Health Richland Medical

Other Identifiers 4

Medicaid1255350351CA
OtherHAP70478FCA · Family Planning
OtherBCP70478FCA · Ewc:cdp:bcedp
MedicaidFHC70478FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Ampla Health Richland Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040225001116Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

126

Medicare enrollment records show 126 clinicians reassign Medicare billing to Ampla Health Richland Medical, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Nurse Practitioner45
Internal Medicine13
Pediatric Medicine12
Family Practice11
Chiropractic8
Clinical Social Worker5
Optometry4
Psychiatry4
15 other specialties24

Nearest to this location (20)

See all 126
Family Practice
NPI 1912636101
355 SAMUEL DRIVE
Yuba City, CA 95991
(530) 674-9200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881116184
355 SAMUEL DR
Yuba City, CA 95991
(530) 674-9200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336240837
355 SAMUEL DR
Yuba City, CA 95991
(530) 674-9200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619485117
334 SAMUEL DR
Yuba City, CA 95991
(530) 674-9200
✔ PECOS✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1639167372
334 SAMUEL DR
Yuba City, CA 95991
(530) 674-9200
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1922837566
460 PLUMAS BLVD STE 120
Yuba City, CA 95991
(530) 743-7366
✔ PECOS✔ Accepts Medicare0.6 mi
Hospitalist
NPI 1881607695
481 PLUMAS BLVD SUITE 104
Yuba City, CA 95991
(530) 674-2434
✔ PECOS✔ Accepts Medicare0.7 mi
Internal Medicine
NPI 1811383789
726 4TH ST
Marysville, CA 95901
(530) 749-4697
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1548070956
726 4TH ST
Marysville, CA 95901
(530) 415-5713
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1437946027
726 4TH ST
Marysville, CA 95901
(530) 751-6023
✔ PECOS1.3 mi
Infectious Disease
NPI 1689610990
945 SHASTA ST STE 100
Yuba City, CA 95991
(832) 716-6221
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1558363168
1000 SUTTER ST
Yuba City, CA 95991
(530) 673-9420
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1528050770
1000 SUTTER ST
Yuba City, CA 95991
(530) 673-9420
✔ PECOS1.5 mi
Pediatric Medicine
NPI 1285622837
1000 SUTTER ST
Yuba City, CA 95991
(530) 673-9420
✔ PECOS1.5 mi
Registered Dietitian or Nutrition Professional
NPI 1437909108
1000 SUTTER ST
Yuba City, CA 95991
(530) 673-9420
✔ Accepts Medicare1.5 mi
Chiropractic
NPI 1912435637
1000 SUTTER ST
Yuba City, CA 95991
(530) 674-9420
✔ Accepts Medicare1.5 mi
Psychiatry
NPI 1629339148
1000 SUTTER ST
Yuba City, CA 95991
(530) 673-9420
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1750930947
931 MARKET ST
Yuba City, CA 95991
(530) 671-8820
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1558360032
1007 LIVE OAK BLVD SUITE B2
Yuba City, CA 95991
(530) 671-8718
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1346510419
4941 OLIVEHURST AVE
Olivehurst, CA 95961
(530) 743-4611
✔ PECOS✔ Accepts Medicare3.7 mi
See all 126 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0873404

Ampla Health · Yuba City, CA
Active · expires Jul 22, 2027
CLIA Number05D0873404
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorMustafa Ammar
Laboratory Phone(530) 674-4261
Laboratory LocationAmpla Health935 Market St, Yuba City, CA 95991
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Ampla Health's NPI number?

The NPI number for Ampla Health is 1255350351. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is also known as Ampla Health Richland Medical.

Where is Ampla Health located?

Ampla Health is located at 355 Samuel Dr, Yuba City, CA 95991. The listed phone number is (530) 674-9200.

What is Ampla Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Ampla Health enrolled in Medicare?

Yes. Ampla Health is registered in the Medicare PECOS enrollment system.

When is Ampla Health'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 February 28, 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 Ampla Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 23 Medicare specialties reassign their Medicare billing to Ampla Health. 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 (45), Internal Medicine (13) and Pediatric Medicine (12). Of these, 3 practice at this address and 44 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ampla Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0873404) is associated with this NPI, valid through July 22, 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 Ampla Health was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.