CHAPA-DE INDIAN HEALTH PROGRAM, INC.
NPI 1114057163
Clinic/Center - Federally Qualified Health Center (FQHC) in Auburn, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chapa-de Indian Health Program, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
87Medicare enrollment records show 87 clinicians reassign Medicare billing to Chapa-De Indian Health Program, Inc., which bills Medicare for the services they deliver. Of these, 16 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 87Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Chapa-De Indian Health Program, Inc. enrolled in Medicare?
Yes. Chapa-De Indian Health Program, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chapa-De Indian Health Program, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 16 Medicare specialties reassign their Medicare billing to Chapa-De Indian Health Program, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (23), Nurse Practitioner (20) and Physical Therapist in Private Practice (7). Of these, 16 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Chapa-De Indian Health Program, Inc. · NPI 1114057163
Federally Qualified Health Center (FQHC) organization in Auburn, California. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1114057163 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Sierk Haitsma, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 11670 ATWOOD RD, Auburn, CA 95603-9522
- **Phone:** (530) 887-2800 · **Fax:** (530) 887-2807
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 87 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (23), Nurse Practitioner (20), Physical Therapist in Private Practice (7); 16 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1114057163/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2018
- **Other identifiers:** Medicaid THP12027F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114057163) · Data from the CMS NPPES public registry.