DORA STREET HEALTH CENTER
NPI 1356714646
Clinic/Center - Federally Qualified Health Center (FQHC) in Ukiah, CA
About Dora Street Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORA STREET HEALTH CENTER (NPI 1356714646) is a healthcare organization registered as a federally qualified health center (fqhc) in Ukiah, California and active in the NPI registry since November 2015. The organization holds a CLIA Microscopy certificate valid through April 19, 2027 and lists Carole Press, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dora Street Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
121Medicare enrollment records show 121 clinicians reassign Medicare billing to Dora Street Health Center, which bills Medicare for the services they deliver. Of these, 39 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 121Source: 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) 05D0856445
Mendocino Community Health Clinic Inc · Ukiah, 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 Mendocino Community Health Clinic, Inc.'s NPI number?
The NPI number for Mendocino Community Health Clinic, Inc. is 1356714646. It was assigned to this organization in the NPPES registry on November 9, 2015. The provider is doing business as Dora Street Health Center.
Where is Mendocino Community Health Clinic, Inc. located?
Mendocino Community Health Clinic, Inc. is located at 1165 S Dora St, Suite A1, Ukiah, CA 95482. The listed phone number is (707) 468-1010.
What is Mendocino Community Health Clinic, 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 Community Health Clinic, Inc. enrolled in Medicare?
Yes. Mendocino Community Health Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mendocino Community Health Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 20 Medicare specialties reassign their Medicare billing to Mendocino Community Health Clinic, 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 Nurse Practitioner (24), Obstetrics/Gynecology (13) and Certified Nurse Midwife (CNM) (12). Of these, 39 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mendocino Community Health Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0856445) is associated with this NPI, valid through April 19, 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 Mendocino Community Health Clinic, Inc. was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dora Street Health Center · NPI 1356714646
Federally Qualified Health Center (FQHC) organization in Ukiah, California. Organization record, active in the CMS NPPES registry since November 9, 2015.
## Identity
- **NPI:** 1356714646 (Entity type: Organization)
- **Enumerated:** November 9, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Mendocino Community Health Clinic, Inc.
- **Organization subpart:** No
- **Authorized official:** Carole Press, C.E.O.
## Practice location
- **Address:** 1165 S DORA ST, SUITE A1, Ukiah, CA 95482-8325
- **Phone:** (707) 468-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 121 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Obstetrics/Gynecology (13), Certified Nurse Midwife (CNM) (12); 39 practice within 10 miles; [full list](https://npiprofile.com/npi/1356714646/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356714646) · Data from the CMS NPPES public registry.