Individual provider Active NPI

Cayo Kaweah Alba, CNM, PMHNP-BC

  • Psychiatry Physician
  • Fort Bragg, CA
National Provider Identifier
1164718334
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
95026401 Issued in CA
Practice address
205 South St
Fort Bragg, CA 95437-5540
Phone
(707) 964-1251
NPI assigned
Jun 25, 2011
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 1942 CA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 95026401 CA
Psychiatry Physician 2084P0800X 95026401 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 95026401 CA

Addresses

Primary practice location

205 South St
Fort Bragg, CA 95437-5540

Mailing address

205 South St
Fort Bragg, CA 95437-5540
Phone (707) 964-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130204000288 CA Practitioner - Certified Nurse Midwife (CNM) 3072767813 Reassigns benefits to 2 organizations
I20231017002960 CA Practitioner - Nurse Practitioner 3072767813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendocino Coast Clinics, IncGroup PAC ID 5991619157, shared by 7 NPIs, 19 clinicians
Long Valley Health CenterGroup PAC ID 8628965852, 11 clinicians

Practice addresses (Care Compare)

205 S St
Fort Bragg, CA 95437-5540
Phone (707) 964-1251

PO Box
Laytonville, CA 95454

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026401CAMDPsychiatry Physician
1942CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Coast Clinics Inc Current Accepting new patients
Mendocino Coast Clinics, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jan 7, 2013 Accepting new patients
Long Valley Health Center CurrentSince Oct 4, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. CurrentSince Jan 7, 2013 Accepting new patients
Mendocino Coast Clinics Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

205 South St
Fort Bragg, CA 95437
Phone (707) 961-4088

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

Interoperability endpoints

  • Direct secure messaging: cayo.alba.p1@direct.mccinc.nextgenshare.com
  • Direct secure messaging: cayo.alba.p1@direct.rcms-healthcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1164718334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375540",
            "telephone_number": "707-964-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SOUTH ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375540",
            "telephone_number": "707-964-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA",
        "first_name": "CAYO",
        "middle_name": "KAWEAH",
        "credential": "CNM, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "1942",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "95026401",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "95026401",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "95026401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

Sources for this page

Verify at the official NPI Registry.