MENDOCINO COAST CLINICS INC
NPI 1609595404
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Bragg, CA
About Mendocino Coast Clinics Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDOCINO COAST CLINICS INC (NPI 1609595404) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Bragg, California and active in the NPI registry since August 2022. The organization lists Lucresha M Renteria, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mendocino Coast Clinics Inc 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
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Mendocino Coast Clinics Inc, which bills Medicare for the services they deliver. Of these, 25 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 33Source: 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 Mendocino Coast Clinics Inc's NPI number?
The NPI number for Mendocino Coast Clinics Inc is 1609595404. It was assigned to this organization in the NPPES registry on August 24, 2022.
Where is Mendocino Coast Clinics Inc located?
Mendocino Coast Clinics Inc is located at 690 S Main St, Fort Bragg, CA 95437. The listed phone number is (707) 364-1251.
What is Mendocino Coast Clinics Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Mendocino Coast Clinics Inc enrolled in Medicare?
Yes. Mendocino Coast Clinics Inc is registered in the Medicare PECOS enrollment system.
When is Mendocino Coast Clinics Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) 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 Mendocino Coast Clinics Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 15 Medicare specialties reassign their Medicare billing to Mendocino Coast Clinics Inc. 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 Clinical Social Worker (7), Nurse Practitioner (6) and Internal Medicine (4). Of these, 25 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mendocino Coast Clinics Inc was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mendocino Coast Clinics Inc · NPI 1609595404
Federally Qualified Health Center (FQHC) organization in Fort Bragg, California. Organization record, active in the CMS NPPES registry since August 24, 2022.
## Identity
- **NPI:** 1609595404 (Entity type: Organization)
- **Enumerated:** August 24, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Lucresha Renteria, CEO
## Practice location
- **Address:** 690 S MAIN ST, Fort Bragg, CA 95437-5108
- **Phone:** (707) 364-1251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 33 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Nurse Practitioner (6), Internal Medicine (4); 25 practice within 10 miles; [full list](https://npiprofile.com/npi/1609595404/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609595404) · Data from the CMS NPPES public registry.