NPIMap

Organization Active NPI

Ritter Center

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
National Provider Identifier
1417370032
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
110000522 Issued in CA
Legal business name
RITTER CENTER
Practice address
800 A St
San Rafael, CA 94901-3011
Phone
(415) 457-8182
NPI assigned
Feb 3, 2014
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Ms. Cia T Byrnes, FNP-C
Title
Executive Director/Cmo
Phone
(415) 457-8182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 110000522 CA Primary

Addresses

Primary practice location

800 A St
San Rafael, CA 94901-3011

Mailing address

PO Box 3517
San Rafael, CA 94912-3517
Phone (415) 457-8182

Other identifiers 1

IdentifierTypeStateIssuer
CMM71061FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050518000901 CA Part B Supplier - Clinic/Group Practice 8123074853 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: San Rafael, CA
O20120127000454 CA Part A Provider - Federally Qualified Health Center (FQHC) 8123074853 Practice locations: San Rafael, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417370032. Details of each certification follow.

Federally qualified health center certification: CCN 551115

Legal name
RITTER CENTER
Doing business as
RITTER HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 27, 2012
Last certification
Jan 27, 2012
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Mar 12, 1980 in CA
Enrollment address
16 Ritter St
San Rafael, CA 94901-3323

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2284995Ritter Center16 Ritter St, San Rafael, CA 94901Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory

Locations

16 Ritter St
San Rafael, CA 94901
Phone (415) 457-8182

800 A St
San Rafael, CA 94901
Phone (415) 730-4623

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Neagle Individual Corporate DirectorBoard Member Mar 28, 2017
Mark Everett Shotwell Individual Corporate OfficerExecutive Director Aug 1, 2018
Corporate DirectorExecutive Director Aug 1, 2018
Daniel Masterson Individual Corporate DirectorBoard Member Dec 1, 2006
Samson Gerbrekidan Mael Individual Corporate OfficerChief Operating Officer Jul 27, 2020
W-2 Managing EmployeeChief Operating Officer Jul 27, 2020
Carol Farrer Individual Corporate DirectorBoard Member Apr 1, 2006

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1417370032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3517",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949123517",
            "telephone_number": "415-457-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013011",
            "telephone_number": "415-457-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITTER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "CIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CMO",
        "authorized_official_telephone_number": "415-457-8182",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "110000522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71061F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.