MARIPOSA COUNTY HEALTH DEPARTMENT
NPI 1508907064
Public Health or Welfare in Mariposa, CA

Active since February 09, 2007CLIA 05D0862530 · Waiver
4988 ELEVENTH STREET, MARIPOSA, CA 95338(209) 966-3689(209) 966-4929 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mariposa County Health Department NPPES

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

MARIPOSA COUNTY HEALTH DEPARTMENT (NPI 1508907064) is a healthcare organization registered as a public health or welfare in Mariposa, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles B Mosher, County Health Officer, as its authorized official.

NPPES Registry Identity

NPI1508907064
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameMARIPOSA COUNTY HEALTH DEPARTMENT
Location Address4988 ELEVENTH STREETMariposa, CA 95338-0005
Mailing AddressPo Box 5Mariposa, CA 95338-0005 · (209) 966-3689 · Fax (209) 966-4929
Fax(209) 966-4929
Organization SubpartNo
Authorized OfficialCharles B MosherCounty Health Officer · (209) 966-3689
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1508907064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
4988 ELEVENTH STREET, Mariposa, CA 95338

Other Identifiers 1

OtherCH02107CA · Medi-cal

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 05D0862530

Mariposa County Health Dept · Mariposa, CA
Active · expires Aug 31, 2026
CLIA Number05D0862530
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEric Sergineko
Laboratory Phone(209) 966-3689
Laboratory LocationMariposa County Health Dept5085 Bullion St, Mariposa, CA 95338
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508907064, enumerated as an "organization" on February 09, 2007.

The provider is located at 4988 ELEVENTH STREET MARIPOSA, CA 95338 and the phone number is (209) 966-3689.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.