RAVENSWOOD FAMILY HEALTH NETWORK
NPI 1821170044
Clinic/Center - Primary Care in East Palo Alto, CA
About Ravenswood Family Health Network NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAVENSWOOD FAMILY HEALTH NETWORK (NPI 1821170044) is a healthcare organization registered as a primary care in East Palo Alto, California and active in the NPI registry since October 2006. The organization lists Gralyn Jacques, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
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)
Ravenswood Family Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Ravenswood Family Health Network, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (10)
Source: 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 South County Community Health Center Inc's NPI number?
The NPI number for South County Community Health Center Inc is 1821170044. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Ravenswood Family Health Network.
Where is South County Community Health Center Inc located?
South County Community Health Center Inc is located at 1885 Bay Road, East Palo Alto, CA 94303. The listed phone number is (650) 330-7400.
What is South County Community Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is South County Community Health Center Inc enrolled in Medicare?
Yes. South County Community Health Center Inc is registered in the Medicare PECOS enrollment system.
When is South County Community Health Center 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 November 30, 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 South County Community Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to South County Community Health Center 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 Pediatric Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 1 practice at this address and 8 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 South County Community Health Center Inc was last updated on February 1, 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.
# Ravenswood Family Health Network · NPI 1821170044
Primary Care organization in East Palo Alto, California. Organization record, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1821170044 (Entity type: Organization)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** South County Community Health Center Inc
- **Organization subpart:** No
- **Authorized official:** Gralyn Jacques, CFO
## Practice location
- **Address:** 1885 BAY ROAD, East Palo Alto, CA 94303-1611
- **Phone:** (650) 330-7400 · **Fax:** (650) 321-1560
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Family Practice (2), Nurse Practitioner (2); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2022
- **Other identifiers:** Other EAP70935F (CA); Other HAP70935F (CA); Medicaid FHC70935F (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821170044) · Data from the CMS NPPES public registry.