CENTRAL VALLEY HEALTHCARE
NPI 1831724053
Clinic/Center - Federally Qualified Health Center (FQHC) in Shasta Lake, CA
About Central Valley Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL VALLEY HEALTHCARE (NPI 1831724053) is a healthcare organization registered as a federally qualified health center (fqhc) in Shasta Lake, California and active in the NPI registry since March 2020. The organization lists Tamra Dawn Olson, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Central Valley Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Central Valley Healthcare, which bills Medicare for the services they deliver. Of these, 37 practice 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 54Source: 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 Redding Rancheria's NPI number?
The NPI number for Redding Rancheria is 1831724053. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider is doing business as Central Valley Healthcare.
Where is Redding Rancheria located?
Redding Rancheria is located at 4174 Ashby Ct, Shasta Lake, CA 96019. The listed phone number is (530) 224-2700.
What is Redding Rancheria's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Redding Rancheria enrolled in Medicare?
Yes. Redding Rancheria is registered in the Medicare PECOS enrollment system.
When is Redding Rancheria'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 March 31, 2027. 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 Redding Rancheria?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 16 Medicare specialties reassign their Medicare billing to Redding Rancheria. 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 (13), Family Practice (12) and Clinical Social Worker (10). Of these, 37 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 Redding Rancheria was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Central Valley Healthcare · NPI 1831724053
Federally Qualified Health Center (FQHC) organization in Shasta Lake, California. Organization record, active in the CMS NPPES registry since March 9, 2020.
## Identity
- **NPI:** 1831724053 (Entity type: Organization)
- **Enumerated:** March 9, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Redding Rancheria
- **Organization subpart:** No
- **Authorized official:** Tamra Olson, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 4174 ASHBY CT, Shasta Lake, CA 96019-9215
- **Phone:** (530) 224-2700 · **Fax:** (530) 224-2738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 54 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Family Practice (12), Clinical Social Worker (10); 37 practice within 10 miles; [full list](https://npiprofile.com/npi/1831724053/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1831724053) · Data from the CMS NPPES public registry.