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LASSEN INDIAN HEALTH CENTER
NPI 1053484998
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Susanville, CA

Active since November 16, 2006
795 JOAQUIN ST, SUSANVILLE, CA 96130(530) 251-5173(530) 251-1846 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lassen Indian Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASSEN INDIAN HEALTH CENTER (NPI 1053484998), doing business as Lassen Indian Health Center Pharmacy, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Susanville, California and active in the NPI registry since November 2006. The organization lists Lona Marie Marioneaux Ibanitoru, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053484998
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameLASSEN INDIAN HEALTH CENTER
Location Address795 JOAQUIN STSusanville, CA 96130-3628
Mailing Address795 Joaquin StSusanville, CA 96130-3628 · (530) 251-5173 · Fax (530) 251-1846
Phone(530) 251-5173
Fax(530) 251-1846
Organization SubpartYesParent: Susanville Indian Rancheria
Authorized OfficialLona Marie Marioneaux IbanitoruCeo · (530) 251-5173
Enumeration DateNovember 16, 2006
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1053484998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in CA · PHE47046
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
795 JOAQUIN ST, Susanville, CA 96130
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Other Names 1

Doing Business AsLassen Indian Health Center Pharmacy

Other Identifiers 1

MedicaidPHA470460CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSE LUIS BUSTOS D.D.S.
Dentist
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542
DR. JUNE LOUNETTE GLENN-LAWSON MD
Family Medicine
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542
DR. LAUREN HAUGH PHARMD
Pharmacist
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542
DR. FREDERICK BOYD AUTENRIEB PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 251-5173
MARC NIELSEN DO
Family Medicine
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542
LASSEN INDIAN HEALTH CENTER
Clinic/Center
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542
TERRI KATHLEEN O'BRYAN ACSW
Social Worker (Clinical)
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 252-4667
CONSTANCE A HERMAN FNP
Nurse Practitioner (Family)
795 JOAQUIN ST
SUSANVILLE, CA 96130
Lassen County (530) 257-2542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lassen Indian Health Center's NPI number?

The NPI number for Lassen Indian Health Center is 1053484998. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Lassen Indian Health Center Pharmacy.

Where is Lassen Indian Health Center located?

Lassen Indian Health Center is located at 795 Joaquin St, Susanville, CA 96130. The listed phone number is (530) 251-5173.

What is Lassen Indian Health Center's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Lassen Indian Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 47 other insurers list Lassen Indian Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lassen Indian Health Center was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.