NPIMap

Organization Active NPI

Southern Humboldt Community Healthcare District

  • Optometrist
  • Fortuna, CA
National Provider Identifier
1952198012
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
Practice address
630 9TH St
Fortuna, CA 95540-2324
Phone
(707) 923-3921
NPI assigned
Apr 22, 2025
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Kent Scown
Title
Coo
Phone
(707) 923-3921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

630 9TH St
Fortuna, CA 95540-2324

Mailing address

630 9TH St
Fortuna, CA 95540-2324
Phone (707) 923-3921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000632 CA Part B Supplier - Clinic/Group Practice 8820982879 Receives reassigned benefits from 88 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fortuna, CA; Garberville, CA

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Southern Humboldt Community4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 94

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 94

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1952198012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 9TH ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402324",
            "telephone_number": "707-923-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 9TH ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402324",
            "telephone_number": "707-923-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "SCOWN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "707-923-3921"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.