LONG VALLEY HEALTH CENTER
NPI 1366467375
Clinic/Center in Laytonville, CA

Active since July 12, 2006CLIA 05D0688924 · Microscopy
50 BRANSCOMB ROAD, LAYTONVILLE, CA 95454(707) 984-6131(707) 984-6990 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Long Valley Health Center NPPES

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

LONG VALLEY HEALTH CENTER (NPI 1366467375) is a healthcare organization registered as a clinic/center in Laytonville, California and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through December 11, 2026 and lists Rodney O Grainger, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366467375
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLONG VALLEY HEALTH CENTER
Location Address50 BRANSCOMB ROADLaytonville, CA 95454
Mailing AddressPo Box 870Laytonville, CA 95454-0870 · (707) 984-6131 · Fax (707) 984-6990
Fax(707) 984-6990
Organization SubpartNo
Authorized OfficialRodney O GraingerExecutive Director · (707) 984-6131
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 7, 2013
✔ NPI 1366467375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
50 BRANSCOMB ROAD, Laytonville, CA 95454

Other Identifiers 3

Medicare ID-Type Unspecified051933CA
MedicaidFHC70034FCA
OtherZZZ84629ZNhic

Accepted Insurance

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)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20040302001373Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Long Valley Health Center, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner10
Family Practice6
Clinical Social Worker5
Chiropractic1
Emergency Medicine1
General Practice1
Internal Medicine1
Marriage and Family Therapist1
1 other specialty1

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1710654660
50 BRANSCOMB RD
Laytonville, CA 95454
(707) 984-6131
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1811089717
50 BRANSCOMB ROAD
Laytonville, CA 95454
(707) 984-6131
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1700316601
50 BRANSCOMB ROAD
Laytonville, CA 95454
(707) 984-6131
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1962894147
50 BRANSCOMB RD
Laytonville, CA 95454
(707) 984-6131
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1174153746
50 BRANSCOMB RD
Laytonville, CA 95454
(707) 984-6131
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1881627693
50 BRANSCOMB RD
Laytonville, CA 95454
(707) 984-6137
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1891149076
44600 WILLIS AVE.
Laytonville, CA 95454
(707) 513-9789
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1457584062
1940 CLOVER DR
Willits, CA 95490
(707) 841-9483
✔ PECOS✔ Accepts Medicare18 mi
Marriage and Family Therapist
NPI 1780128793
104 W MENDOCINO AVE
Willits, CA 95490
(916) 879-3054
✔ PECOS20 mi
Emergency Medicine
NPI 1366535890
1245 S MAIN ST
Willits, CA 95490
(707) 459-6861
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1164718334
205 SOUTH ST
Fort Bragg, CA 95437
(707) 964-1251
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1932528965
1050 N STATE ST
Ukiah, CA 95482
(707) 463-7495
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1093733669
770 10TH ST
Arcata, CA 95521
(707) 826-8610
✔ PECOS✔ Accepts Medicare88 mi
Family Practice
NPI 1972544948
1300 N DUTTON AVE
Santa Rosa, CA 95401
(707) 459-6861
✔ PECOS✔ Accepts Medicare94 mi
Nurse Practitioner
NPI 1225438294
19270 HIGHWAY 12
Sonoma, CA 95476
(707) 939-6070
✔ PECOS110 mi
Family Practice
NPI 1619968948
75 W MARCH LN STE H
Stockton, CA 95207
(909) 254-3793
✔ PECOS166 mi
Psychiatry
NPI 1518195825
31625 HIGHWAY 101 S
Soledad, CA 93960
(831) 678-5500
✔ PECOS✔ Accepts Medicare250 mi
Chiropractic
NPI 1659320729
345 H ST
Bakersfield, CA 93304
(661) 327-2588
386 mi
Clinical Social Worker
NPI 1932359429
938 LIGHTHOUSE WAY
Port Hueneme, CA 93041
(530) 416-4444
✔ PECOS✔ Accepts Medicare450 mi
Internal Medicine
NPI 1285739128
26671 ALISO CREEK RD SUITE 205
Aliso Viejo, CA 92656
(949) 831-0300
✔ PECOS529 mi
See all 27 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) 05D0688924

Long Valley Health Center · Laytonville, CA
Active · expires Dec 11, 2026
CLIA Number05D0688924
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorThomas Bertolli, MD
Laboratory Phone(707) 984-6131
Laboratory LocationLong Valley Health Center50 Branscomb Rd, Laytonville, CA 95454
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 Long Valley Health Center's NPI number?

The NPI number for Long Valley Health Center is 1366467375. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Long Valley Health Center located?

Long Valley Health Center is located at 50 Branscomb Road, Laytonville, CA 95454. The listed phone number is (707) 984-6131.

What is Long Valley Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Long Valley Health Center enrolled in Medicare?

Yes. Long Valley Health Center is registered in the Medicare PECOS enrollment system.

When is Long Valley Health Center'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 March 31, 2027. 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 Long Valley Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 9 Medicare specialties reassign their Medicare billing to Long Valley Health Center. 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 (6) and Clinical Social Worker (5). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long Valley Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0688924) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Long Valley Health Center accept?

Health plans from UnitedHealthcare list Long Valley Health Center 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 Long Valley Health Center was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.