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TRIBAL HEALTH PEDIATRICS
NPI 1215327804
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakeport, CA

Active since February 03, 2015
359 LAKEPORT BLVD, LAKEPORT, CA 95453(707) 533-2700(707) 263-5400 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tribal Health Pediatrics NPPES

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

TRIBAL HEALTH PEDIATRICS (NPI 1215327804) is a healthcare organization registered as a federally qualified health center (fqhc) in Lakeport, California and active in the NPI registry since February 2015. The organization lists Ernesto Padilla, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215327804
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
Location Address359 LAKEPORT BLVDLakeport, CA 95453-5412
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-0329
Phone(707) 533-2700
Fax(707) 263-5400
Organization SubpartNo
Authorized OfficialErnesto PadillaExecutive Director · (707) 263-0329
Enumeration DateFebruary 3, 2015
Last NPPES UpdateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1215327804 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
359 LAKEPORT BLVD, Lakeport, CA 95453
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Other Names 1

Doing Business AsTribal Health Pediatrics

Other Providers at the Same Location NPPES 5

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

MARLENE QUILALA MD
Pediatrics
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 533-2740
FLORENCIA KARINA MIRANDA CHUMPITAZ NP
Nurse Practitioner (Family)
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 513-6002
EMILY TANG NP
Nurse Practitioner (Pediatrics)
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 263-8383
KATIA ZOGG RD
Dietitian, Registered
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 533-2740
SHAUNA ROGERS
Health Educator
359 LAKEPORT BLVD
LAKEPORT, CA 95453
Lake County (707) 263-8382

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 Lake County Tribal Health Consortium, Inc.'s NPI number?

The NPI number for Lake County Tribal Health Consortium, Inc. is 1215327804. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as Tribal Health Pediatrics.

Where is Lake County Tribal Health Consortium, Inc. located?

Lake County Tribal Health Consortium, Inc. is located at 359 Lakeport Blvd, Lakeport, CA 95453. The listed phone number is (707) 533-2700.

What is Lake County Tribal Health Consortium, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Lake County Tribal Health Consortium, Inc. was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.