NORTHEASTERN RURAL HEALTH CLINICS
NPI 1336150051
Family Medicine in Westwood, CA
About Northeastern Rural Health Clinics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEASTERN RURAL HEALTH CLINICS (NPI 1336150051), doing business as Westwood Family Practice, is a healthcare organization registered as a family medicine in Westwood, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Lacey L Lively, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeastern Rural Health Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Northeastern Rural Health Clinics, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
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 05D0618660
Northeastern Rural Health Clinics · Susanville, CAFrequently 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 Northeastern Rural Health Clinics's NPI number?
The NPI number for Northeastern Rural Health Clinics is 1336150051. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Westwood Family Practice.
Where is Northeastern Rural Health Clinics located?
Northeastern Rural Health Clinics is located at 209 Birch Street, Westwood, CA 96137. The listed phone number is (530) 256-3152.
What is Northeastern Rural Health Clinics's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Northeastern Rural Health Clinics enrolled in Medicare?
Yes. Northeastern Rural Health Clinics is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeastern Rural Health Clinics?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeastern Rural Health Clinics. 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 (10), Family Practice (4) and Obstetrics/Gynecology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeastern Rural Health Clinics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0618660) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northeastern Rural Health Clinics accept?
Health plans from UnitedHealthcare list Northeastern Rural Health Clinics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Northeastern Rural Health Clinics was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Northeastern Rural Health Clinics · NPI 1336150051
Family Medicine organization in Westwood, California. Organization record, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1336150051 (Entity type: Organization)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Westwood Family Practice (Doing Business As)
- **Organization subpart:** Yes (part of Northeastern Rural Health Clinics)
- **Authorized official:** Lacey Lively, CEO
## Practice location
- **Address:** 209 BIRCH STREET, Westwood, CA 96137
- **Phone:** (530) 256-3152 · **Fax:** (530) 256-2061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (4), Obstetrics/Gynecology (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2025
- **Other identifiers:** Medicaid FHC70292F (CA); Other ZZZ95961Z (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336150051) · Data from the CMS NPPES public registry.