Rolling Hills Clinic
Organization Active NPI Federally Qualified Health Center (FQHC) · Corning, CA
NPI 1992012306 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1992012306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ROLLING HILLS CLINIC
- Practice address
- 706 Peach St
Corning, CA 96021-3355 - Phone
- (530) 690-2827
- Fax
- (978) 416-8198
- NPI assigned
- Sep 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Jeannette Lefdal
- Title
- Revenue Cycle Director
- Phone
- (530) 900-7588
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 48
-
Cynthia Barbo, NP-C
-
Bee L Beard, NP
-
Metasebia Bekele, PA-C
-
Lee Shoop, MD
-
Andrea Neita, D.O.
-
John L Okemah, MD
-
Ayesha Amjad Ali, FNP-C, WHCNP
-
Ornella Addonizio, M.D.
-
Sean W Agy, DENTAL HYGIENIST
-
Taylor Robert Ballard, PA-C
-
Jasmine A Damian Langarica, DENTAL HYGIENIST
-
Samantha J Krick, DENTAL HYGIENIST
-
Dale Mendenhall, MPT
-
Angela L Morrow, DENTAL HYGIENIST
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2034263 | Rolling Hills Clinic | Provider-performed microscopy | Jan 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in CA, TX
Federally qualified health center certification: CCN 751124
- Legal name
- ROLLING HILLS CLINIC
- Organization structure
- Other · Non-profit
- Enrollment address
- 2540 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Federally qualified health center certification: CCN A01155
- Legal name
- ROLLING HILLS CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 19, 2023
- Last certification
- May 19, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Enrollment address
- 705 East St
Corning, CA 96021-2252
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Heather Rothstein |
Corporate Director |
Mar 15, 2021 | |
| Operational/Managerial Control |
Mar 15, 2021 | ||
| Paskenta Band of Nomlaki Indians |
5% Or Greater Direct Ownership Interest | Jan 1, 2011 | |
| Martha Valencia |
Other |
Jul 20, 2022 | |
| W-2 Managing Employee |
Feb 16, 2023 | ||
| Rolling Hills Clinic |
Operational/Managerial Control | Feb 16, 2023 | 100% |
| Erich Koch |
Corporate Officer |
Feb 16, 2023 | 100% |
| W-2 Managing Employee |
Feb 16, 2023 | ||
| Operational/Managerial Control |
Feb 16, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101207000681 | CA | Part a Provider - Indian Health Services Facility | 6901093681 | Practice locations: Red Bluff, CA; Corning, CA |
| O20140825000064 | TX | Part B Supplier - Clinic/Group Practice | 6901093681 |
Receives reassigned benefits from 30 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Corning, CA; Red Bluff, CA |
| O20141002001734 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 6901093681 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Red Bluff, CA |
| O20190306000482 | TX | Part a Provider - Indian Health Services Facility | 6901093681 | Practice locations: Corning, CA |
| O20230524002886 | CA | Part a Provider - Federally Qualified Health Center (FQHC) | 6901093681 | Practice locations: Corning, CA |
National Provider Directory
Locations
706 Peach St
Corning, CA 96021
Phone (530) 690-2827
705 East St
Corning, CA 96021
Phone (530) 690-2818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
706 Peach St
Corning, CA 96021-3355
Mailing address
PO Box 908
Corning, CA 96021-0908
Phone (530) 690-2827
Other practice location 1
740 Solano St
Corning, CA 96021-3352
Phone (530) 690-2827
Other practice location 2
2540 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 690-2827
Other practice location 3
2526 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 690-2827
Other practice location 4
705 East St
Corning, CA 96021-2252
Phone (530) 690-2827
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992012306 | Medicaid | CA |
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All providers in Corning, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.