M A C T HEALTH BOARD INCORPORATED
NPI 1366519431
Clinic/Center - Federally Qualified Health Center (FQHC) in San Andreas, CA
About M A C T Health Board Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
M A C T HEALTH BOARD INCORPORATED (NPI 1366519431) is a healthcare organization registered as a federally qualified health center (fqhc) in San Andreas, California and active in the NPI registry since November 2006. The organization maintains 23 additional practice locations and lists Mariela Contreras, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 23
Group Practice 1
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)
M A C T Health Board Incorporated 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.
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to M A C T Health Board Incorporated, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 41Source: 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 M A C T Health Board Incorporated's NPI number?
The NPI number for M A C T Health Board Incorporated is 1366519431. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is M A C T Health Board Incorporated located?
M A C T Health Board Incorporated is located at 1113 Highway 49, San Andreas, CA 95249. The listed phone number is (209) 755-1400.
What is M A C T Health Board Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is M A C T Health Board Incorporated enrolled in Medicare?
Yes. M A C T Health Board Incorporated is registered in the Medicare PECOS enrollment system.
When is M A C T Health Board Incorporated's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) 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 M A C T Health Board Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 11 Medicare specialties reassign their Medicare billing to M A C T Health Board Incorporated. 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), Dentist (9) and Chiropractic (5). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does M A C T Health Board Incorporated accept?
Health plans from UnitedHealthcare list M A C T Health Board Incorporated 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 M A C T Health Board Incorporated was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# M A C T Health Board Incorporated · NPI 1366519431
Federally Qualified Health Center (FQHC) organization in San Andreas, California. Organization record, active in the CMS NPPES registry since November 30, 2006.
## Identity
- **NPI:** 1366519431 (Entity type: Organization)
- **Enumerated:** November 30, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Mariela Contreras, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1113 HIGHWAY 49, San Andreas, CA 95249
- **Phone:** (209) 755-1400 · **Fax:** (209) 755-1430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 41 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Dentist (9), Chiropractic (5); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1366519431/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366519431) · Data from the CMS NPPES public registry.