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LAKESIDE HEALTH CENTER
NPI 1770516304
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakeport, CA

Active since July 08, 2006
5335 LAKESHORE BLVD, LAKEPORT, CA 95453(707) 263-7725 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Health Center NPPES

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

LAKESIDE HEALTH CENTER (NPI 1770516304) is a healthcare organization registered as a federally qualified health center (fqhc) in Lakeport, California and active in the NPI registry since July 2006. The organization lists Tim Dolan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770516304
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMENDOCINO COMMUNITY HEALTH CLINIC, INC.
Location Address5335 LAKESHORE BLVDLakeport, CA 95453-6123
Mailing Address333 Laws AveUkiah, CA 95482-6540 · (707) 468-1010
Phone(707) 263-7725
Organization SubpartNo
Authorized OfficialTim DolanCfo · (707) 467-2260
Enumeration DateJuly 8, 2006
Last NPPES UpdateMay 3, 2019
✔ NPI 1770516304 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
Also ListedClinic/CenterTaxonomy 261Q00000X · License 110000350 (CA)
5335 LAKESHORE BLVD, Lakeport, CA 95453
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Other Names 1

Other NameLakeside Health Center

Other Identifiers 2

MedicaidFHC70845FCA
OtherHAP70845FCA · Familypact

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA NGO DDS
Dentist (General Practice)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
JOHN GRANVILLE JENKINS DDS
Dentist
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-0196
DR. CHARLES JOSEPH SEAGE M.D.
Internal Medicine
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 472-4596
JENNY SENFF FNP, RN
Registered Nurse
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
KAREN J KENNEDY PA
Physician Assistant (Medical)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
MRS. IRINNA ANDRIANARIJAONA FNP
Nurse Practitioner (Family)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
DR. JAVIER ARROYO D.C.
Chiropractor
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725
DR. LINDA WASSERMAN MD
Pediatrics
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Lake County (707) 263-7725

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 Community Health Clinic, Inc.'s NPI number?

The NPI number for Mendocino Community Health Clinic, Inc. is 1770516304. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is also known as Lakeside Health Center.

Where is Mendocino Community Health Clinic, Inc. located?

Mendocino Community Health Clinic, Inc. is located at 5335 Lakeshore Blvd, Lakeport, CA 95453. The listed phone number is (707) 263-7725.

What is Mendocino Community Health Clinic, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mendocino Community Health Clinic, Inc. was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.