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REDWOOD COAST MEDICAL SERVICES, INC.
NPI 1962530725
Clinic/Center - Federally Qualified Health Center (FQHC) in Gualala, CA

Active since March 01, 2007CLIA 05D0612035 · Accreditation
46900 OCEAN DR, GUALALA, CA 95445(707) 884-4005(707) 884-9728 Get Directions Write a Review

NPPES record last updated: December 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Redwood Coast Medical Services, Inc. NPPES

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

REDWOOD COAST MEDICAL SERVICES, INC. (NPI 1962530725) is a healthcare organization registered as a federally qualified health center (fqhc) in Gualala, California and active in the NPI registry since March 2007. The organization holds an CLIA Accreditation certificate valid through June 4, 2027 and lists Diane Agee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962530725
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameREDWOOD COAST MEDICAL SERVICES, INC.
Location Address46900 OCEAN DRGualala, CA 95445-8353
Mailing AddressPo Box 1100Gualala, CA 95445-1100 · (707) 884-4005 · Fax (707) 884-9728
Phone(707) 884-4005
Fax(707) 884-9728
Organization SubpartNo
Authorized OfficialDiane AgeeCeo · (707) 884-9476
Enumeration DateMarch 1, 2007
Last NPPES UpdateDecember 24, 2013
✔ NPI 1962530725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000048
46900 OCEAN DR, Gualala, CA 95445
Open in Google Maps ↗

Other Identifiers 2

Medicare OSCAR/certification051907CA
MedicaidFHC03906FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0612035

Redwood Coast Medical Services · Gualala, CA
Active · expires Jun 4, 2027
CLIA Number05D0612035
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Thomas A. Bertolli
Laboratory Phone(707) 884-4005
Laboratory LocationRedwood Coast Medical Services46900 Ocean Dr, Gualala, CA 95445
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

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

MR. LEON KOENCK PA C
Physician Assistant
46900 OCEAN DR, STE 1100
GUALALA, CA 95445
Mendocino County (707) 884-4005
LAUNDON TRANSUE
Physician Assistant
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
DR. MARK KAL M.D.
Family Medicine
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
LOIS FALK N.P.
Nurse Practitioner
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
ADELE ZITA RN
Registered Nurse
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Internal Medicine (Cardiovascular Disease)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 573-6166
ROBERTA U. RAMS D.D.S.
Dentist (General Practice)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005
CAITHLEEN PATERSON ZIKORUS N.P.
Nurse Practitioner (Family)
46900 OCEAN DR
GUALALA, CA 95445
Mendocino County (707) 884-4005

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 Redwood Coast Medical Services, Inc.'s NPI number?

The NPI number for Redwood Coast Medical Services, Inc. is 1962530725. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Redwood Coast Medical Services, Inc. located?

Redwood Coast Medical Services, Inc. is located at 46900 Ocean Dr, Gualala, CA 95445. The listed phone number is (707) 884-4005.

What is Redwood Coast Medical Services, Inc.'s specialty?

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

Does Redwood Coast Medical Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0612035) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Redwood Coast Medical Services, Inc. was last updated on December 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.