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HUMBOLDT FAMILY MEDICAL CARE
NPI 1447287347
Clinic/Center - Rural Health in Mckinleyville, CA

Active since June 27, 2006
1733 CENTRAL AVE, MCKINLEYVILLE, CA 95519(707) 839-4852(707) 839-2439 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Humboldt Family Medical Care NPPES

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

HUMBOLDT FAMILY MEDICAL CARE (NPI 1447287347) is a healthcare organization registered as a rural health in Mckinleyville, California and active in the NPI registry since June 2006. The organization lists Douglas Allen Shaw, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1447287347
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHUMBOLDT FAMILY MEDICAL CARE
Location Address1733 CENTRAL AVEMckinleyville, CA 95519-3601
Mailing AddressP.o. Box 4957Arcata, CA 95518-4957 · (707) 822-7220 · Fax (707) 826-8258
Phone(707) 839-4852
Fax(707) 839-2439
Organization SubpartNo
Authorized OfficialDouglas Allen ShawChief Executive Officer · (707) 822-7220
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 20, 2019
✔ NPI 1447287347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1733 CENTRAL AVE, Mckinleyville, CA 95519
Open in Google Maps ↗

Other Identifiers 3

MedicaidRHM53803GCA
OtherZZZ67827ZCA · Blue Sheirld Provider #
Other05-8505CA · Blue Cross Provider #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Humboldt Family Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Humboldt Family Medical Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deborah Pavich, FNP-BC
Nurse Practitioner
NPI 1255602199
21 NE ROMANCE HILL RD
Belfair, WA 98528
(360) 277-2950
✔ PECOS454 mi

Source: 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 Humboldt Family Medical Care's NPI number?

The NPI number for Humboldt Family Medical Care is 1447287347. It was assigned to this organization in the NPPES registry on June 27, 2006.

Where is Humboldt Family Medical Care located?

Humboldt Family Medical Care is located at 1733 Central Ave, Mckinleyville, CA 95519. The listed phone number is (707) 839-4852.

What is Humboldt Family Medical Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Humboldt Family Medical Care enrolled in Medicare?

Yes. Humboldt Family Medical Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Humboldt Family Medical Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Humboldt Family Medical Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Humboldt Family Medical Care was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.