TAHOE FOREST HOSPITAL DISTRICT
NPI 1063068930
Family Medicine in Truckee, CA

NPI Status: Active since August 15, 2019

Contact Information

10956 DONNER PASS RD STE 110
TRUCKEE, CA
ZIP 96161
Phone: (530) 581-8864

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  • Organization
  • Family Medicine
  • CLIA Number: 05D0644155
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About TAHOE FOREST HOSPITAL DISTRICT

This page provides the complete NPI Profile along with additional information for Tahoe Forest Hospital District, a primary care provider established in Truckee, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1063068930 assigned on August 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Tahoe Forest Hospital District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Crystal Betts (Cfo)

NPI
1063068930
Provider Name
TAHOE FOREST HOSPITAL DISTRICT
Entity Type
Organization
Location Address
10956 DONNER PASS RD STE 110 TRUCKEE, CA 96161
Location Phone
(530) 581-8864
Mailing Address
10121 PINE AVE TRUCKEE, CA 96161
Mailing Phone
(530) 587-6011
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-15-2019
Last Update Date
08-15-2019
Code Navigator

A primary care provider (PCP) like Tahoe Forest Hospital District sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 925 North Lake Blvd
    Tahoe City, CA 96145
    (530) 581-8864
  • 1960 Squaw Valley Road
    Olympic Valley, CA 96146
    (530) 581-8864
  • 10956 Donner Pass Rd Ste 360
    Truckee, CA 96161
    (530) 581-8864

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL BETTS

Authorized Official Title
CFO
Authorized Official Phone
(530) 582-6656

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0644155
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. MICHAEL S. POWELL
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Tahoe Forest Hospital District on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063068930, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 0 + 6 + 1 + 6 + 9 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063068930.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
10956 DONNER PASS RD STE 110
TRUCKEE, CA 96161
Physician Assistant
10956 DONNER PASS RD STE 110
TRUCKEE, CA 96161
Physician Assistant
10956 DONNER PASS RD STE 110
TRUCKEE, CA 96161
Physician Assistant (Medical)
10956 DONNER PASS RD STE 110
TRUCKEE, CA 96161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063068930, enumerated as an "organization" on August 15, 2019.

The provider is located at 10956 DONNER PASS RD STE 110 TRUCKEE, CA 96161 and the phone number is (530) 581-8864.

Family Medicine with taxonomy code 207Q00000X.