Mendocino Coast Clinics, Inc
A Medicare group practice based in Fort Bragg, CA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5991619157), with 35 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5991619157
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 8
- Group size
- 19 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120329000397 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1326335464 |
| O20031113000226 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1083783757 |
| O20050512001033 | CA | Part B Supplier - Clinic/Group Practice | 1609595404 |
| O20080520000671 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1861670093 |
| O20250324000272 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1285128595 |
| O20230628003261 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1609595404 |
| O20230628001271 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1689336984 |
| O20190909003438 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1528736022 |
NPIs in this group 7
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mendocino Coast Clinics Inc
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1083783757
-
Mendocino Coast Clinics Inc
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1528736022
-
Mendocino Coast Clinics Inc
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1609595404
-
Mendocino Coast Clinics Inc
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1689336984
-
Mendocino Coast Clinics, Inc
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1326335464
-
Mendocino Coast Clinics, Inc.
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1285128595
-
Mendocino Coast Clinics, Inc.
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1861670093
Practice locations
- Fort Bragg, CA13
Clinicians 35
Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (19).
-
Cayo Kaweah Alba, CNM, PMHNP-BC
- Psychiatry Physician
- Fort Bragg, CA
- NPI 1164718334
-
Zulfia Anderson, PA-C
- Physician Assistant
- Salinas, CA
- NPI 1528658531
-
Genevieve Marilyn Banegas, LCSW, PPSC
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1821340480
-
Gloria Aguilar Blanceagle, PSY.D.
- Clinical Psychologist
- Santa Cruz, CA
- NPI 1639600901
-
Jenna Rose Breton, NPF
- Nurse Practitioner
- Fort Bragg, CA
- NPI 1427222538
-
Gretchen Duran, P.A.
- Physician Assistant
- Concord, CA
- NPI 1255663613
-
Stefanie Nanette Forrester, PAC
- Medical Physician Assistant
- Oklahoma City, OK
- NPI 1366719080
-
Lisa Gay Fredrickson, FNP
- Family Nurse Practitioner
- Fort Bragg, CA
- NPI 1932533924
-
Ann K. Gallo, LCSW
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1891980561
-
Jenna Glasscock, MA, MFT
- Marriage & Family Therapist
- Fort Bragg, CA
- NPI 1013244102
-
Lawrence M Goldyn, M.D.
- Adult Medicine Physician
- Fort Bragg, CA
- NPI 1780605097
-
Wade Joseph Gray, MD
- Family Medicine Physician
- Fort Bragg, CA
- NPI 1508861782
-
Roshanda Grayson-Thomas, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Portage, IN
- NPI 1619415874
-
Patricia Ann Grow, FNP
- Family Nurse Practitioner
- Galveston, TX
- NPI 1043416803
-
Crystal Marie Harris, LCSW
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1083267165
-
Hilary Kaye, NP
- Community Health Nurse Practitioner
- Fort Bragg, CA
- NPI 1558166983
-
Barbara Jean Kilian, MD
- Emergency Medicine Physician
- Fort Bragg, CA
- NPI 1306869342
-
Thomas Paton Knecht, MD, PHD
- Endocrinology, Diabetes & Metabolism Physician
- Petaluma, CA
- NPI 1235371857
-
Lily Tadayyon Kregenow, MD
- Pediatrics Physician
- Tacoma, WA
- NPI 1992766117
-
Jennifer Beth Kreger, MD
- Family Medicine Physician
- Fort Bragg, CA
- NPI 1922005586
-
Nathaniel Gandy Lane, PA-C
- Medical Physician Assistant
- Fort Bragg, CA
- NPI 1528427994
-
Douglas S Lister, DPM
- Podiatrist
- Fort Bragg, CA
- NPI 1295958312
-
Muaj Lo, MD
- Family Medicine Physician
- Fort Bragg, CA
- NPI 1487644985
-
Linnea Marie Matthews, FNP
- Family Nurse Practitioner
- Fort Bragg, CA
- NPI 1417174756
-
Tammy Gail Patrick
- Physical Therapist
- Fort Bragg, CA
- NPI 1063416915
-
John Alexander-Blair Ramirez, LCSW
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1144793639
-
John Joseph Remington, PSY.D.
- Clinical Psychologist
- Fort Bragg, CA
- NPI 1538231246
-
J. Kyle Smith, O.D.
- Optometrist
- Fort Bragg, CA
- NPI 1184674152
-
David Todd Stein, LCSW
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1104999606
-
James A Thomas, PA
- Physician Assistant
- Fort Bragg, CA
- NPI 1609990167
-
Rebecca Saben Timme, D.O.
- Child & Adolescent Psychiatry Physician
- Petaluma, CA
- NPI 1780848325
-
Kei Julia Velazquez, CNM
- Midwife
- Fort Bragg, CA
- NPI 1760581631
-
John T Wallace II, MD
- Internal Medicine Physician
- Fort Bragg, CA
- NPI 1023079803
-
Brent Douglas Wright, MD
- Gynecology Physician
- Fort Bragg, CA
- NPI 1275657231
-
James Young, DC
- Chiropractor
- Fort Bragg, CA
- NPI 1942353875
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.