CHERRY CLINIC
NPI 1275146037
General Practice in Cutler, CA

Active since August 31, 2020CLIA 05D2199152 · Waiver
40657 ROAD 128, CUTLER, CA 93615(559) 234-2112 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2020, Aug 31, 2020 (2 updates tracked since 2020).

About Cherry Clinic NPPES

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

CHERRY CLINIC (NPI 1275146037) is a healthcare organization registered as a general practice in Cutler, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Alberto Ruvalcaba, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1275146037
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCHERRY CLINIC
Location Address40657 ROAD 128Cutler, CA 93615-2003
Mailing Address40657 Road 128Cutler, CA 93615-2003 · (559) 390-0023 · Fax (559) 426-6069
Organization SubpartNo
Authorized OfficialAlberto RuvalcabaCeo/president · (559) 390-0023
Enumeration DateAugust 31, 2020
Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
✔ NPI 1275146037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
40657 ROAD 128, Cutler, CA 93615

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)

Cherry Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20201007001130Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Cherry Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1902528300
40657 ROAD 128 STE 101
Cutler, CA 93615
(559) 390-0023
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598074338
12586 AVENUE 408
Orosi, CA 93647
(877) 960-3426
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1518341874
2324 E CHESTNUT CT
Visalia, CA 93292
(559) 289-4124
✔ PECOS16 mi
Podiatry
NPI 1295754125
13701 BEACH BLVD A1
Westminster, CA 92683
(714) 705-0737
✔ PECOS✔ Accepts Medicare204 mi
Nurse Practitioner
NPI 1598324725
8638 OLD TROY PIKE STE A
Huber Heights, OH 45424
(937) 734-5100
✔ PECOS✔ Accepts Medicare1,915 mi

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 05D2199152

Cherry Clinic · Cutler, CA
Active · expires Nov 4, 2026
CLIA Number05D2199152
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorAlberto Ruvalcaba MD
Laboratory Phone(559) 361-9091
Laboratory LocationCherry Clinic40657 Road 128, Cutler, CA 93615
CLIA data matches this NPI record on: Address 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 Cherry Clinic's NPI number?

The NPI number for Cherry Clinic is 1275146037. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Cherry Clinic located?

Cherry Clinic is located at 40657 Road 128, Cutler, CA 93615. The listed phone number is (559) 234-2112.

What is Cherry Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Cherry Clinic enrolled in Medicare?

Yes. Cherry Clinic is registered in the Medicare PECOS enrollment system.

When is Cherry Clinic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Rural Health Clinic) is due for revalidation by December 31, 2026. 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 Cherry Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Cherry Clinic. 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 (3), Family Practice (1) and Podiatry (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cherry Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2199152) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cherry Clinic was last updated on September 25, 2020. 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.