MCKINLEYVILLE COMMUNITY HEALTH CENTER
NPI 1598858169
Clinic/Center - Federally Qualified Health Center (FQHC) in Mckinleyville, CA
About Mckinleyville Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKINLEYVILLE COMMUNITY HEALTH CENTER (NPI 1598858169) is a healthcare organization registered as a federally qualified health center (fqhc) in Mckinleyville, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through June 23, 2028 and lists Victor Starr, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Mckinleyville Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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
175Medicare enrollment records show 175 clinicians reassign Medicare billing to Mckinleyville Community Health Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 71 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 175Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0964235
Mckinleyville Community Health Center · Mckinleyville, CAFrequently 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 Open Door Community Health Centers's NPI number?
The NPI number for Open Door Community Health Centers is 1598858169. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Mckinleyville Community Health Center.
Where is Open Door Community Health Centers located?
Open Door Community Health Centers is located at 1644 Central Avenue Suite F, Mckinleyville, CA 95519. The listed phone number is (707) 839-3068.
What is Open Door Community Health Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Open Door Community Health Centers enrolled in Medicare?
Yes. Open Door Community Health Centers is registered in the Medicare PECOS enrollment system.
When is Open Door Community Health Centers'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 October 31, 2026. 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 Open Door Community Health Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 175 clinicians in 16 Medicare specialties reassign their Medicare billing to Open Door Community Health Centers. 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 Family Practice (61), Nurse Practitioner (60) and Clinical Social Worker (13). Of these, 9 practice at this address and 71 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Open Door Community Health Centers hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0964235) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Open Door Community Health Centers was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mckinleyville Community Health Center · NPI 1598858169
Federally Qualified Health Center (FQHC) organization in Mckinleyville, California. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1598858169 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Open Door Community Health Centers
- **Organization subpart:** No
- **Authorized official:** Victor Starr, PRESIDENT/CEO
## Practice location
- **Address:** 1644 CENTRAL AVENUE, SUITE F, Mckinleyville, CA 95519
- **Phone:** (707) 839-3068 · **Fax:** (707) 839-3827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 175 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (61), Nurse Practitioner (60), Clinical Social Worker (13); 9 practice at this address and 71 within 10 miles; [full list](https://npiprofile.com/npi/1598858169/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2023
- **Other identifiers:** Medicaid FHC70779F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598858169) · Data from the CMS NPPES public registry.