Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDERSON VALLEY HEALTH CENTER
NPI 1568449304
Clinic/Center - Federally Qualified Health Center (FQHC) in Boonville, CA

Active since December 22, 2005
13500 AIRPORT ROAD, BOONVILLE, CA 95415(707) 895-3477(707) 895-2035 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anderson Valley Health Center NPPES

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

ANDERSON VALLEY HEALTH CENTER (NPI 1568449304) is a healthcare organization registered as a federally qualified health center (fqhc) in Boonville, California and active in the NPI registry since December 2005. The organization lists Erin Chloe Guazzone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568449304
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameANDERSON VALLEY HEALTH CENTER
Location Address13500 AIRPORT ROADBoonville, CA 95415
Mailing AddressPo Box 338Boonville, CA 95415-0338 · (707) 895-3477 · Fax (707) 895-2035
Fax(707) 895-2035
Organization SubpartNo
Authorized OfficialErin Chloe GuazzoneCeo · (707) 895-3477
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1568449304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000165
Also ListedFamily MedicineTaxonomy 207Q00000X
13500 AIRPORT ROAD, Boonville, CA 95415

Other Identifiers 2

Medicaid051024CA
MedicaidFHC03881FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Anderson Valley Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Clinical Social Worker
NPI 1609669472
13500 AIRPORT RD
Boonville, CA 95415
(707) 895-3477
✔ PECOSSame address
Nurse Practitioner
NPI 1316130792
13500 AIRPORT ROAD
Boonville, CA 95415
(707) 895-3477
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427366426
13500 AIRPORT RD
Boonville, CA 95415
(707) 895-3477
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538219779
13500 AIRPORT ROAD
Boonville, CA 95415
(707) 895-3477
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255531497
350 E GOBBI ST
Ukiah, CA 95482
(707) 472-2922
✔ PECOS13 mi
Hematology/Oncology
NPI 1770508616
700 RIVER DR
Fort Bragg, CA 95437
(707) 961-4922
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1154095818
3883 AIRWAY DR STE 202
Santa Rosa, CA 95403
(707) 521-7777
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1982123170
3000 Q ST FL 3
Sacramento, CA 95816
(916) 733-3400
✔ PECOS✔ Accepts Medicare108 mi

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 of Waiver 05D0676267

Anderson Valley Health Center · Boonville, CA
Expired · Oct 30, 2026
CLIA Number05D0676267
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorCary Smeltzer
Laboratory Phone(707) 895-3477
Laboratory LocationAnderson Valley Health Center13500 Airport Rd, Boonville, CA 95415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Anderson Valley Health Center's NPI number?

The NPI number for Anderson Valley Health Center is 1568449304. It was assigned to this organization in the NPPES registry on December 22, 2005.

Where is Anderson Valley Health Center located?

Anderson Valley Health Center is located at 13500 Airport Road, Boonville, CA 95415. The listed phone number is (707) 895-3477.

What is Anderson Valley Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Anderson Valley Health Center enrolled in Medicare?

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

How many clinicians bill Medicare through Anderson Valley Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Anderson 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 (3), Clinical Social Worker (2) and Family Practice (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anderson Valley Health Center was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.