SUSANVILLE INDIAN RANCHERIA
NPI 1275539793
Clinic/Center in Susanville, CA

Q: What is Lassen Indian Health Center's NPI number?

The NPI number for Lassen Indian Health Center is 1275539793. It was assigned to this organization in the NPPES registry on June 21, 2005. The provider is doing business as Susanville Indian Rancheria.

Q: What is Lassen Indian Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 21, 2005CLIA 05D0684082 · Waiver

795 JOAQUIN ST, SUSANVILLE, CA 96130(530) 257-2542(530) 251-5208 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Susanville Indian Rancheria NPPES

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

SUSANVILLE INDIAN RANCHERIA (NPI 1275539793) is a healthcare organization registered as a clinic/center in Susanville, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Debra Sokol, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1275539793

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLASSEN INDIAN HEALTH CENTER

Location Address795 JOAQUIN STSusanville, CA 96130-3628

Mailing Address795 Joaquin StSusanville, CA 96130 · (530) 257-2542 · Fax (530) 251-5208

Phone(530) 257-2542

Fax(530) 251-5208

Organization SubpartNo

Authorized OfficialDebra SokolClinic Manager · (530) 257-2542

Enumeration DateJune 21, 2005

Last NPPES UpdateDecember 31, 2009

✔ NPI 1275539793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · RN300870

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

795 JOAQUIN ST, Susanville, CA 96130

Open in Google Maps ↗

Other Names 1

Doing Business AsSusanville Indian Rancheria

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 of Waiver 05D0684082

Lassen Indian Health Center · Susanville, CA

Active · expires Aug 31, 2026

CLIA Number05D0684082

Laboratory TypeIndian Hlth Srvs Rural Cl

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorNicolas Milligan MD

Laboratory Phone(530) 257-2542

Laboratory LocationLassen Indian Health Center795 Joaquin Street, Susanville, CA 96130

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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