FRONTIER VILLAGE FAMILY HEALTH CENTER, INC
NPI 1477667384
Clinic/Center - Rural Health in Red Bluff, CA

Active since August 18, 2006CLIA 05D0952805 · Waiver
645 ANTELOPE BLVD STE 24, RED BLUFF, CA 96080(530) 528-7650(530) 528-7655 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frontier Village Family Health Center, Inc NPPES

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

FRONTIER VILLAGE FAMILY HEALTH CENTER, INC (NPI 1477667384) is a healthcare organization registered as a rural health in Red Bluff, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Jagraj S Nijjar, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1477667384
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFRONTIER VILLAGE FAMILY HEALTH CENTER, INC
Location Address645 ANTELOPE BLVD STE 24Red Bluff, CA 96080-2463
Mailing Address645 Antelope Blvd Ste 24Red Bluff, CA 96080-2463 · (530) 528-7650 · Fax (530) 528-7655
Fax(530) 528-7655
Organization SubpartNo
Authorized OfficialJagraj S NijjarPresident/ceo · (530) 528-7650
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 8, 2014
NPI 1477667384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
645 ANTELOPE BLVD STE 24, Red Bluff, CA 96080

Other Identifiers 3

Medicare OSCAR/certification553909CA
MedicaidRHM53909GCA
Medicare PINFO642ACA

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 05D0952805

Frontier Village Family Health Center, Inc · Red Bluff, CA
Active · expires Jul 20, 2027
CLIA Number05D0952805
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorJagraj S. Nijjar
Laboratory Phone(530) 528-7650
Laboratory LocationFrontier Village Family Health Center, Inc645 Antelope Blvd, Ste 24, Red Bluff, CA 96080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
645 ANTELOPE BLVD STE 24
RED BLUFF, CA 96080
Clinic/Center (Rural Health)
645 ANTELOPE BLVD STE 24
RED BLUFF, CA 96080

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 Frontier Village Family Health Center, Inc's NPI number?

The NPI number for Frontier Village Family Health Center, Inc is 1477667384. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Frontier Village Family Health Center, Inc located?

Frontier Village Family Health Center, Inc is located at 645 Antelope Blvd Ste 24, Red Bluff, CA 96080. The listed phone number is (530) 528-7650.

What is Frontier Village Family Health Center, Inc's specialty?

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

Does Frontier Village Family Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0952805) is associated with this NPI, valid through July 20, 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 Frontier Village Family Health Center, Inc was last updated on August 8, 2014. 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.