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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: August 16, 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.

MERRILL FEATHERSTONE MFC
Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
NICOLE R MARTINEZ REGISTERED NURSE
Registered Nurse (General Practice)
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
CHRISTIAN KENSHIN JOB
Registered Nurse (Administrator)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. MARLIN NOELIA DURAN DDS
Dentist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8383
YOLANDA SORTO CASTANON LMFT
Marriage & Family Therapist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
CHARISSA M BARSOS NP
Nurse Practitioner
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
JACQUELINE KELLY
Nurse Practitioner (Family)
925 BEVINS CT
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 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.

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 5 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.