MENDOCINO COMMUNITY HEALTH CLINIC, INC.
NPI 1811958952
Clinic/Center - Federally Qualified Health Center (FQHC) in Ukiah, CA
About Mendocino Community Health Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDOCINO COMMUNITY HEALTH CLINIC, INC. (NPI 1811958952) is a healthcare organization registered as a federally qualified health center (fqhc) in Ukiah, California and active in the NPI registry since March 2006. The organization lists Antonia Delgado Vega, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mendocino Community Health Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
121Medicare enrollment records show 121 clinicians reassign Medicare billing to Mendocino Community Health Clinic, Inc., which bills Medicare for the services they deliver. Of these, 21 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 121Source: 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 Community Health Clinic, Inc.'s NPI number?
The NPI number for Mendocino Community Health Clinic, Inc. is 1811958952. It was assigned to this organization in the NPPES registry on March 29, 2006.
Where is Mendocino Community Health Clinic, Inc. located?
Mendocino Community Health Clinic, Inc. is located at 333 Laws Ave, Ukiah, CA 95482. The listed phone number is (707) 468-1010.
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.
Is Mendocino Community Health Clinic, Inc. enrolled in Medicare?
Yes. Mendocino Community Health Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mendocino Community Health Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 20 Medicare specialties reassign their Medicare billing to Mendocino Community Health Clinic, 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 Nurse Practitioner (24), Obstetrics/Gynecology (13) and Certified Nurse Midwife (CNM) (12). Of these, 21 practice at this address and 40 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 Community Health Clinic, Inc. was last updated on May 7, 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.
# Mendocino Community Health Clinic, Inc. · NPI 1811958952
Federally Qualified Health Center (FQHC) organization in Ukiah, California. Organization record, active in the CMS NPPES registry since March 29, 2006.
## Identity
- **NPI:** 1811958952 (Entity type: Organization)
- **Enumerated:** March 29, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Antonia Delgado Vega, BILLING MANAGER
## Practice location
- **Address:** 333 LAWS AVE, Ukiah, CA 95482-6540
- **Phone:** (707) 468-1010 · **Fax:** (707) 468-0174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 121 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Obstetrics/Gynecology (13), Certified Nurse Midwife (CNM) (12); 21 practice at this address and 40 within 10 miles; [full list](https://npiprofile.com/npi/1811958952/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2019
- **Other identifiers:** Other EAP03933F (CA); Other HAP03933F (CA); Medicaid FHC03933F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1811958952) · Data from the CMS NPPES public registry.