WILLOW CREEK COMMUNITY HEALTH CENTER
NPI 1730330739
Clinic/Center - Federally Qualified Health Center (FQHC) in Willow Creek, CA
About Willow Creek Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW CREEK COMMUNITY HEALTH CENTER (NPI 1730330739) is a healthcare organization registered as a federally qualified health center (fqhc) in Willow Creek, California and active in the NPI registry since October 2008. The organization holds a CLIA Microscopy certificate valid through November 5, 2026 and lists Cheyenne Spetzler, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Willow Creek Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
175Medicare enrollment records show 175 clinicians reassign Medicare billing to Willow Creek Community Health Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 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) 05D1091695
Willow Creek Community Health Center · Willow Creek, 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 1730330739. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is doing business as Willow Creek Community Health Center.
Where is Open Door Community Health Centers located?
Open Door Community Health Centers is located at 38883 Highway 299, Willow Creek, CA 95573. The listed phone number is (530) 629-3111.
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.
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, 4 practice at this address and 6 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 05D1091695) is associated with this NPI, valid through November 5, 2026. 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.
# Willow Creek Community Health Center · NPI 1730330739
Federally Qualified Health Center (FQHC) organization in Willow Creek, California. Organization record, active in the CMS NPPES registry since October 8, 2008.
## Identity
- **NPI:** 1730330739 (Entity type: Organization)
- **Enumerated:** October 8, 2008
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Open Door Community Health Centers
- **Organization subpart:** Yes (part of Open Door Community Health Centers)
- **Authorized official:** Cheyenne Spetzler, COO
## Practice location
- **Address:** 38883 HIGHWAY 299, Willow Creek, CA 95573-0726
- **Phone:** (530) 629-3111 · **Fax:** (530) 629-3122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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); 4 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1730330739/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2023
- **Other identifiers:** Medicaid 1730330739 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730330739) · Data from the CMS NPPES public registry.