NPIMap

Organization Active NPI

Planned Parenthood Shasta Diablo Inc

Doing business as Planned Parenthood Northern California

  • Non-Surgical Family Planning Clinic/Center
  • Clearlake, CA
National Provider Identifier
1801147707
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
PLANNED PARENTHOOD SHASTA DIABLO INC
Doing business as
Planned Parenthood Northern California
Practice address
14671 Olympic Dr
Clearlake, CA 95422-9516
Phone
(707) 995-2261
Fax
(707) 995-2816
NPI assigned
Oct 2, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Nicole Barnett
Title
President & Ceo
Phone
(925) 676-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

14671 Olympic Dr
Clearlake, CA 95422-9516

Mailing address

2185 Pacheco St
Concord, CA 94520-2309
Phone (925) 676-0505

Other names 1

  • Planned Parenthood Northern California Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713001139 CA Part B Supplier - Clinic/Group Practice 7012807134 Receives reassigned benefits from 68 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Ramon, CA; Walnut Creek, CA; Vallejo, CA; Ukiah, CA; Santa Rosa, CA; San Rafael, CA; San Francisco, CA; Richmond, CA…

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Northern California9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14671 Olympic Dr
Clearlake, CA 95422
Phone (707) 995-2181

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1801147707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202309",
            "telephone_number": "925-676-0505",
            "fax_number": "925-676-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 OLYMPIC DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229516",
            "telephone_number": "707-995-2261",
            "fax_number": "707-995-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD SHASTA DIABLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "925-676-0505"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Northern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearlake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.