MENDOCINO COAST CLINICS, INC.
NPI 1285128595
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Bragg, CA
About Mendocino Coast Clinics, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDOCINO COAST CLINICS, INC. (NPI 1285128595) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Bragg, California and active in the NPI registry since June 2018. The organization lists Lucresha M Renteria, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mendocino Coast Clinics, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Mendocino Coast Clinics, Inc., which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 33Source: 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 Mendocino Coast Clinics, Inc.'s NPI number?
The NPI number for Mendocino Coast Clinics, Inc. is 1285128595. It was assigned to this organization in the NPPES registry on June 20, 2018.
Where is Mendocino Coast Clinics, Inc. located?
Mendocino Coast Clinics, Inc. is located at 510 Cypress St Ste C-100, Fort Bragg, CA 95437. The listed phone number is (707) 961-3430.
What is Mendocino Coast Clinics, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Mendocino Coast Clinics, Inc. enrolled in Medicare?
Yes. Mendocino Coast Clinics, Inc. is registered in the Medicare PECOS enrollment system.
When is Mendocino Coast Clinics, Inc.'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 October 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 Mendocino Coast Clinics, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 15 Medicare specialties reassign their Medicare billing to Mendocino Coast Clinics, Inc.. 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 (7), Nurse Practitioner (6) and Internal Medicine (4). Of these, 25 practice 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 Mendocino Coast Clinics, Inc. was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mendocino Coast Clinics, Inc. · NPI 1285128595
Federally Qualified Health Center (FQHC) organization in Fort Bragg, California. Organization record, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1285128595 (Entity type: Organization)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Lucresha Renteria, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 510 CYPRESS ST STE C-100, Fort Bragg, CA 95437-5411
- **Phone:** (707) 961-3430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 33 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Nurse Practitioner (6), Internal Medicine (4); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1285128595/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1285128595) · Data from the CMS NPPES public registry.