REDWOOD COAST MEDICAL SERVICES, INC.
NPI 1962530725
Clinic/Center - Federally Qualified Health Center (FQHC) in Gualala, CA
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Redwood Coast Medical Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Redwood Coast Medical Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Redwood Coast Medical Services, Inc. enrolled in Medicare?
Yes. Redwood Coast Medical Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Redwood Coast Medical Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Redwood Coast Medical Services, 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 Family Practice (6), Nurse Practitioner (5) and Clinical Social Worker (3). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Redwood Coast Medical Services, Inc. · NPI 1962530725
Federally Qualified Health Center (FQHC) organization in Gualala, California. Organization record, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1962530725 (Entity type: Organization)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Diane Agee, CEO
## Practice location
- **Address:** 46900 OCEAN DR, Gualala, CA 95445-8353
- **Phone:** (707) 884-4005 · **Fax:** (707) 884-9728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (6), Nurse Practitioner (5), Clinical Social Worker (3); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 24, 2013
- **Other identifiers:** Medicare OSCAR/certification 051907 (CA); Medicaid FHC03906F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962530725) · Data from the CMS NPPES public registry.