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CHAPA-DE INDIAN HEALTH PROGRAM, INC.
NPI 1114057163
Clinic/Center - Federally Qualified Health Center (FQHC) in Auburn, CA

Active since March 07, 2007CLIA 05D0613208 · Microscopy
11670 ATWOOD RD, AUBURN, CA 95603(530) 887-2800(530) 887-2807 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chapa-de Indian Health Program, Inc. NPPES

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

CHAPA-DE INDIAN HEALTH PROGRAM, INC. (NPI 1114057163) is a healthcare organization registered as a federally qualified health center (fqhc) in Auburn, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through January 28, 2027 and lists Sierk Haitsma, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114057163
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCHAPA-DE INDIAN HEALTH PROGRAM, INC.
Location Address11670 ATWOOD RDAuburn, CA 95603-9522
Mailing Address11670 Atwood RdAuburn, CA 95603-9522 · (530) 887-2800
Phone(530) 887-2800
Fax(530) 887-2807
Organization SubpartNo
Authorized OfficialSierk HaitsmaChief Financial Officer · (530) 889-2841
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 3, 2018
✔ NPI 1114057163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 030000189
11670 ATWOOD RD, Auburn, CA 95603
Open in Google Maps ↗

Other Identifiers 1

MedicaidTHP12027FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0613208

Chapa De Indian Health Program, Inc · Auburn, CA
Active · expires Jan 28, 2027
CLIA Number05D0613208
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorWilliam Jornlin
Laboratory Phone(530) 887-2810
Laboratory LocationChapa De Indian Health Program, Inc11670 Atwood Road, Auburn, CA 95603
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

KIM TWILLING
Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2800
SAMANTHA MONIQUE MANZANO FNP
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2800
SHARNAY MICHELLE PETERSON
Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2800
MEAGAN KATHLEEN MULLIGAN FNP
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2810
CHAPA-DE INDIAN HEALTH PROGRAM
Clinic/Center
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2800
MS. MARY PATRICIA PEREZ MFT
Counselor (Mental Health)
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2811
DR. REKHA SHEETAL SINGH M.D
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2828
MARYNA KOZYRYEV
Dentist
11670 ATWOOD RD
AUBURN, CA 95603
Placer County (530) 887-2800

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 Chapa-De Indian Health Program, Inc.'s NPI number?

The NPI number for Chapa-De Indian Health Program, Inc. is 1114057163. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Chapa-De Indian Health Program, Inc. located?

Chapa-De Indian Health Program, Inc. is located at 11670 Atwood Rd, Auburn, CA 95603. The listed phone number is (530) 887-2800.

What is Chapa-De Indian Health Program, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Chapa-De Indian Health Program, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0613208) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chapa-De Indian Health Program, Inc. accept?

Health plans from UnitedHealthcare list Chapa-De Indian Health Program, Inc. 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 Chapa-De Indian Health Program, Inc. was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.