Mendocino Medical Associates, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MENDOCINO MEDICAL ASSOCIATES, INC

Practice address

721 River Dr
Suite a
Fort Bragg, CA 95437-5402

Phone

(707) 964-7241

Fax

(707) 961-1192

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Graham, MD

Title

President

Phone

(707) 964-7241

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1598718165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 RIVER DR",
            "address_2": "SUITE A",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375402",
            "telephone_number": "707-964-7241",
            "fax_number": "707-961-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 RIVER DR",
            "address_2": "SUITE A",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375402",
            "telephone_number": "707-964-7241",
            "fax_number": "707-961-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOCINO MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-964-7241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G35252",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53828F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mendocino Coast Clinics, Inc.
• Mendocino Coast Hospitality Center
• Mendocino Coast Hospitality Center
• Mendocino Coast Hospitality Center
• Mendocino Coast Pharmacy
• Mendocino Pharmacy Holdings Inc.
• Randy Celina Mendoza, LCSW
• Anabelle Yanez Meyer, NP, FNP-C
• Benjamin Meyer, NP, FNP-C
• Carol Michelson, MFT

• Internal Medicine Physician in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.