LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.
NPI 1881697381
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakeport, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake County Tribal Health Consortium Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to Lake County Tribal Health Consortium Inc., which bills Medicare for the services they deliver. Of these, 23 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 59Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1881697381. It was assigned to this organization in the NPPES registry on May 27, 2005.
Where is Lake County Tribal Health Consortium Inc. located?
Lake County Tribal Health Consortium Inc. is located at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.
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.
Is Lake County Tribal Health Consortium Inc. enrolled in Medicare?
Yes. Lake County Tribal Health Consortium Inc. is registered in the Medicare PECOS enrollment system.
When is Lake County Tribal Health Consortium Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lake County Tribal Health Consortium Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 17 Medicare specialties reassign their Medicare billing to Lake County Tribal Health Consortium 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 Nurse Practitioner (11), Dentist (8) and Marriage and Family Therapist (7). Of these, 23 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake County Tribal Health Consortium Inc. was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Lake County Tribal Health Consortium Inc. · NPI 1881697381
Federally Qualified Health Center (FQHC) organization in Lakeport, California. Organization record, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1881697381 (Entity type: Organization)
- **Enumerated:** May 27, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Ernesto Padilla, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 925 BEVINS CT, Lakeport, CA 95453-9754
- **Phone:** (707) 263-8382 · **Fax:** (707) 263-0329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 59 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Dentist (8), Marriage and Family Therapist (7); 23 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1881697381/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2026
- **Other identifiers:** Medicaid THP70611F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1881697381) · Data from the CMS NPPES public registry.