FORTUNA COMMUNITY HEALTH CENTER
NPI 1306252051
Clinic/Center - Federally Qualified Health Center (FQHC) in Fortuna, CA

Active since July 02, 2014CLIA 05D2105027 · Microscopy
3750 ROHNERVILLE ROAD, FORTUNA, CA 95540(707) 725-6101(707) 725-2978 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, Sep 14, 2018, Mar 4, 2016 (3 updates tracked since 2016).

About Fortuna Community Health Center NPPES

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

FORTUNA COMMUNITY HEALTH CENTER (NPI 1306252051) is a healthcare organization registered as a federally qualified health center (fqhc) in Fortuna, California and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through November 16, 2027 and lists Victor Starr, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1306252051
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameOPEN DOOR COMMUNITY HEALTH CENTERS
Location Address3750 ROHNERVILLE ROADFortuna, CA 95540
Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633 · Fax (707) 826-8638
Fax(707) 725-2978
Organization SubpartNo
Authorized OfficialVictor StarrPresident/ceo · (707) 826-8633
Enumeration DateJuly 2, 2014
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1306252051 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
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
3750 ROHNERVILLE ROAD, Fortuna, CA 95540

Other Names 1

Doing Business AsFortuna Community Health Center

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortuna Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

175

Medicare enrollment records show 175 clinicians reassign Medicare billing to Fortuna Community Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Family Practice61
Nurse Practitioner60
Clinical Social Worker13
Pediatric Medicine10
Internal Medicine8
Certified Nurse Midwife (CNM)5
Marriage and Family Therapist4
Obstetrics/Gynecology3
8 other specialties11

Nearest to this location (20)

See all 175
Nurse Practitioner
NPI 1427520550
3750 ROHNERVILLE ROAD
Fortuna, CA 95540
(707) 725-4477
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710483086
3750 ROHNERVILLE RD
Fortuna, CA 95540
(707) 725-4477
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205578663
3750 ROHNERVILLE RD
Fortuna, CA 95540
(707) 725-6101
✔ PECOS0.2 mi
Family Practice
NPI 1952396103
3429 RENNER DR STE B
Fortuna, CA 95540
(707) 726-2255
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1255574885
3429 RENNER DR
Fortuna, CA 95540
(707) 726-2255
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1336393776
3304 RENNER DR
Fortuna, CA 95540
(707) 725-4477
✔ PECOS0.4 mi
Family Practice
NPI 1972554301
638 MAIN STREET
Ferndale, CA 95536
(707) 786-4028
✔ PECOS✔ Accepts Medicare6.9 mi
Family Practice
NPI 1316984842
2675 HARRIS ST
Eureka, CA 95503
(707) 443-8335
✔ PECOS✔ Accepts Medicare14 mi
Ophthalmology
NPI 1568420008
2840 ONEIL LANE
Eureka, CA 95503
(707) 443-9777
✔ PECOS✔ Accepts Medicare14 mi
Clinical Social Worker
NPI 1437674819
720 WOOD ST
Eureka, CA 95501
(707) 268-2990
✔ PECOS14 mi
Certified Nurse Midwife (CNM)
NPI 1104229483
2350 BUHNE ST STE A
Eureka, CA 95501
(707) 630-5281
✔ PECOS✔ Accepts Medicare14 mi
Marriage and Family Therapist
NPI 1770820193
2350 BUHNE ST STE A
Eureka, CA 95501
(707) 443-4593
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1427147347
2350 BUHNE ST STE A
Eureka, CA 95501
(707) 443-4593
✔ PECOS14 mi
Internal Medicine
NPI 1447511803
2426 BUHNE ST
Eureka, CA 95501
(707) 443-4666
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1962541987
2426 BUHNE ST
Eureka, CA 95501
(707) 443-4666
✔ PECOS✔ Accepts Medicare14 mi
Chiropractic
NPI 1790443109
1775 HARRISON AVE
Eureka, CA 95501
(707) 445-8080
15 mi
Clinical Psychologist
NPI 1871229187
622 H ST
Eureka, CA 95501
(707) 433-4666
✔ PECOS15 mi
Pediatric Medicine
NPI 1003812744
2200 TYDD ST
Eureka, CA 95501
(707) 269-7051
✔ PECOS15 mi
Obstetrics/Gynecology
NPI 1144405119
770 10TH ST
Arcata, CA 95521
(707) 630-5177
✔ PECOS✔ Accepts Medicare20 mi
Hospitalist
NPI 1689056954
785 18TH ST
Arcata, CA 95521
(707) 822-2481
✔ PECOS✔ Accepts Medicare21 mi
See all 175 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) 05D2105027

Fortuna Community Health Center · Fortuna, CA
Active · expires Nov 16, 2027
CLIA Number05D2105027
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorDr. Kelvin Vu
Laboratory Phone(707) 725-6101
Laboratory LocationFortuna Community Health Center3750 Rohnerville Rd, Fortuna, CA 95540
CLIA data matches this NPI record on: Address Name Phone
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 Open Door Community Health Centers's NPI number?

The NPI number for Open Door Community Health Centers is 1306252051. It was assigned to this organization in the NPPES registry on July 2, 2014. The provider is doing business as Fortuna Community Health Center.

Where is Open Door Community Health Centers located?

Open Door Community Health Centers is located at 3750 Rohnerville Road, Fortuna, CA 95540. The listed phone number is (707) 725-6101.

What is Open Door Community Health Centers's specialty?

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

Is Open Door Community Health Centers enrolled in Medicare?

Yes. Open Door Community Health Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Door Community Health Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 175 clinicians in 16 Medicare specialties reassign their Medicare billing to Open Door Community Health Centers. 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 Family Practice (61), Nurse Practitioner (60) and Clinical Social Worker (13). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Open Door Community Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2105027) is associated with this NPI, valid through November 16, 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 Open Door Community Health Centers was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.