Organization Active NPI

Rolling Hills Clinic

  • Federally Qualified Health Center (FQHC)
  • Corning, CA
National Provider Identifier
1992012306
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jeannette Lefdal
Title
Revenue Cycle Director
Phone
(530) 900-7588

Specialties & licenses 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1992012306. Details of each certification follow.

Federally qualified health center certification: CCN 751124

Legal name
ROLLING HILLS CLINIC
Organization structure
OtherNon-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
OtherNon-profit
Enrollment address
705 East St
Corning, CA 96021-2252

Federally qualified health center certification: CCN 551068

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROLLING HILLS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 16, 2010
Last certification
Dec 16, 2010
Ownership / control type
For profit – corporation
Facility address
740 Solano Street
Corning, CA 96021

Federally qualified health center certification: CCN 921126

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ROLLING HILLS CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2019
Last certification
Mar 5, 2019
Ownership / control type
For profit – corporation
Facility address
706 Peach Street
Corning, CA 96021

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

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
05D2034263Rolling Hills Clinic740 Solano St, Corning, CA 96021Provider-performed microscopyJan 16, 2027

National Provider Directory

National Provider Directory

Locations

705 East St
Corning, CA 96021
Phone (530) 690-2827

706 Peach St
Corning, CA 96021
Phone (530) 690-2827

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

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
Heather Rothstein Individual Corporate DirectorDirector of RCM and Compliance Mar 15, 2021
Operational/Managerial ControlDirector of RCM and Compliance Mar 15, 2021
Paskenta Band of Nomlaki Indians Organization, Corning, CA 5% Or Greater Direct Ownership Interest Jan 1, 2011
Martha Valencia Individual OtherCredentialing Specialist Jul 20, 2022
W-2 Managing EmployeeBilling & Credentialing Speciali Feb 16, 2023
Rolling Hills Clinic Organization, Corning, CA Non-profit Operational/Managerial Control Feb 16, 2023 100%
Erich Koch Individual Corporate OfficerCeo Feb 16, 2023 100%
W-2 Managing EmployeeBilling and Credentialing Specia Feb 16, 2023
Operational/Managerial ControlCeo Feb 16, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 50

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 50

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1992012306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960210908",
            "telephone_number": "530-690-2827",
            "fax_number": "530-690-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 PEACH ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213355",
            "telephone_number": "530-690-2827",
            "fax_number": "978-416-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Solano St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "CA",
            "postal_code": "960213352",
            "country_code": "US",
            "telephone_number": "530-690-2827",
            "fax_number": "978-416-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Sister Mary Columba Dr",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960804327",
            "country_code": "US",
            "telephone_number": "530-690-2827",
            "fax_number": "978-416-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2526 Sister Mary Columba Dr",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960804327",
            "country_code": "US",
            "telephone_number": "530-690-2827",
            "fax_number": "978-416-8198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 East St",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "CA",
            "postal_code": "960212252",
            "country_code": "US",
            "telephone_number": "530-690-2827",
            "fax_number": "978-416-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROLLING HILLS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "LEFDAL",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "530-900-7588"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, CA

Sources for this page

Verify at the official NPI Registry.