SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
NPI 1952198012
Optometrist in Fortuna, CA

Q: What is Southern Humboldt Community Healthcare District's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 22, 2025

630 9TH ST, FORTUNA, CA 95540(707) 923-3921 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Southern Humboldt Community Healthcare District NPPES

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

SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT (NPI 1952198012) is a healthcare organization registered as an optometrist in Fortuna, California and active in the NPI registry since April 2025. The organization lists Kent Scown, Coo, as its authorized official.

NPPES Registry Identity

NPI1952198012

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT

Location Address630 9TH STFortuna, CA 95540-2324

Mailing Address630 9th StFortuna, CA 95540-2324 · (707) 923-3921

Phone(707) 923-3921

Organization SubpartNo

Authorized OfficialKent ScownCoo · (707) 923-3921

Enumeration DateApril 22, 2025

Last NPPES UpdateJanuary 16, 2026

NPPES CertifiedJanuary 16, 2026

✔ NPI 1952198012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

630 9TH ST, Fortuna, CA 95540

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Humboldt Community Healthcare District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 89 clinicians reassign Medicare billing to Southern Humboldt Community Healthcare District, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Diagnostic Radiology39

Emergency Medicine25

Nurse Practitioner4

Optometry4

Internal Medicine3

Pathology2

Pediatric Medicine2

Physical Therapist in Private Practice2

8 other specialties8

Nearest to this location (20)

See all 89

Seth Miskin, OD

Optometry

NPI 1255176616

630 9TH ST
Fortuna, CA 95540

(707) 725-5144

✔ PECOS✔ Accepts MedicareSame address

Alan French, OD

Optometry

NPI 1699709964

630 9TH ST
Fortuna, CA 95540

(707) 725-5144

✔ PECOSSame address

Katherine Loveless, LCSW

Clinical Social Worker

NPI 1700467610

1100 MAIN ST STE F
Fortuna, CA 95540

(707) 497-8744

✔ PECOS✔ Accepts Medicare0.1 mi

Emily Marshall, DO

Osteopathic Manipulative Medicine

NPI 1861849283

101 WEST COAST RD
Redway, CA 95560

(707) 923-2783

✔ PECOS38 mi

Sarah Beach, FNP

Nurse Practitioner

NPI 1356878615

733 CEDAR ST
Garberville, CA 95542

(707) 923-3925

✔ PECOS✔ Accepts Medicare39 mi

Jessie Bugbee, NP

Nurse Practitioner

NPI 1710608336

733 CEDAR ST
Garberville, CA 95542

(707) 923-2779

✔ PECOS39 mi

Sierra Earley

Physical Therapist in Private Practice

NPI 1861149254

733 CEDAR ST
Garberville, CA 95542

(707) 923-3921

39 mi

Katelyn Pagano, OTR

Occupational Therapist in Private Practice

NPI 1679319792

733 CEDAR ST
Garberville, CA 95542

(707) 923-3921

39 mi

Tiffany Ordonez, M.D.

Internal Medicine

NPI 1588754006

509 ELM ST
Garberville, CA 95542

(707) 923-3921

✔ PECOS✔ Accepts Medicare39 mi

Tara Huff, MSW

Mental Health Counselor

NPI 1477083434

509 ELM ST
Garberville, CA 95542

(707) 923-3921

✔ PECOS39 mi

Snehal Raisoni, MD

General Practice

NPI 1487973798

HIWGHWAY 162 AND BIGGAR LANE
Covelo, CA 95428

(707) 983-6181

✔ PECOS✔ Accepts Medicare73 mi

Michael Newdow, MD

Emergency Medicine

NPI 1245265966

3534 E STATE HWY 20 STE 4
Nice, CA 95464

(707) 721-4317

✔ PECOS123 mi

Tyler Barr, MD

Family Practice

NPI 1326493800

1065 BUCKS LAKE RD
Quincy, CA 95971

(530) 283-2121

✔ PECOS✔ Accepts Medicare175 mi

Tanya Villers, APRN, FNP-C

Nurse Practitioner

NPI 1487153300

1111 N NAGLE ST
Alturas, CA 96101

(530) 708-8820

✔ PECOS✔ Accepts Medicare198 mi

Dennis Mcdonald, M.D.

Diagnostic Radiology

NPI 1235160524

1500 EXPO PKWY
Sacramento, CA 95815

(916) 646-8431

✔ PECOS✔ Accepts Medicare200 mi

David Brosnan, OD

Optometry

NPI 1437104502

94B SERRAMONTE CTR
Daly City, CA 94015

(650) 992-8007

✔ PECOS✔ Accepts Medicare221 mi

Karthikeyan Viswanathan, DO

Internal Medicine

NPI 1396128336

4546 EL CAMINO REAL STE B7
Los Altos, CA 94022

(866) 362-4246

✔ PECOS246 mi

Isabella Bruno

Physical Therapist in Private Practice

NPI 1144086802

5075 RIVER RD N
Keizer, OR 97303

(503) 400-7717

✔ Accepts Medicare309 mi

Joseph Rogers, MD

Pediatric Medicine

NPI 1033133202

5189 HOSPITAL RD
Mariposa, CA 95338

(209) 966-3631

✔ PECOS✔ Accepts Medicare310 mi

Nicholas Harding-Jackson, MD

Pathology

NPI 1396011755

2374 E PACIFICA PL
Rancho Dominguez, CA 90220

(310) 225-3244

✔ PECOS✔ Accepts Medicare569 mi

See all 89 clinicians

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 Southern Humboldt Community Healthcare District's NPI number?

The NPI number for Southern Humboldt Community Healthcare District is 1952198012. It was assigned to this organization in the NPPES registry on April 22, 2025.

Where is Southern Humboldt Community Healthcare District located?

Southern Humboldt Community Healthcare District is located at 630 9th St, Fortuna, CA 95540. The listed phone number is (707) 923-3921.

What is Southern Humboldt Community Healthcare District's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Southern Humboldt Community Healthcare District enrolled in Medicare?

Yes. Southern Humboldt Community Healthcare District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Humboldt Community Healthcare District?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 16 Medicare specialties reassign their Medicare billing to Southern Humboldt Community Healthcare District. 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 Diagnostic Radiology (39), Emergency Medicine (25) and Nurse Practitioner (4). Of these, 2 practice at this address and 3 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 Southern Humboldt Community Healthcare District was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.