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LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.
NPI 1881697381
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakeport, CA

Active since May 27, 2005
925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-0329 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lake County Tribal Health Consortium Inc. NPPES

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

LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC. (NPI 1881697381) is a healthcare organization registered as a federally qualified health center (fqhc) in Lakeport, California and active in the NPI registry since May 2005. The organization lists Ernesto Padilla, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881697381
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.
Location Address925 BEVINS CTLakeport, CA 95453-9754
Mailing Address925 Bevins CtLakeport, CA 95453-9754 · (707) 263-8382 · Fax (707) 263-0329
Phone(707) 263-8382
Fax(707) 263-0329
Organization SubpartNo
Authorized OfficialErnesto PadillaExecutive Director · (707) 263-8382
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1881697381 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 · 110000289
925 BEVINS CT, Lakeport, CA 95453
Open in Google Maps ↗

Other Identifiers 1

MedicaidTHP70611FCA

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.

MRS. BEVERLY A SOUTHERLAND P.A.
Physician Assistant
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8322
MRS. TAMARA TIRADO F.N.P.
Nurse Practitioner (Family)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
MERRILL FEATHERSTONE MFC
Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
MR. THOMAS M CUMMINS LAC.
Acupuncturist
925 BEVINS CT, MEDICAL
LAKEPORT, CA 95453
Lake County (707) 263-3523
DR. JACQUELINE J. BAE MD
Nutritionist (Nutrition, Education)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
Pharmacy (Community/Retail Pharmacy)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
JENNIFER ZIENTEK
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
MRS. MARY LINNELL M.A.
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382

Frequently Asked Questions

What is LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1881697381, enumerated as an "organization" on May 27, 2005.

Where is the provider located?

The provider is located at 925 BEVINS CT LAKEPORT, CA 95453 and the phone number is (707) 263-8382.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.