TOIYABE INDIAN HEALTH PROJECT, INC. (NPI# 1093720609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093720609 |
| Entity Type | Organization |
| Organization Name | TOIYABE INDIAN HEALTH PROJECT, INC. |
| Other Organization Name | TOIYABE INDIAN HEALTH PROJECT CLINIC/PHARMACY |
| Practice Address |
250 N See Vee Ln Bishop CA 93514-8130 |
| Practice Telephone | 7608734721 |
| Practice Fax Number | 7608736127 |
| Mailing Telephone | 7608734721 |
| Mailing Fax Number | 7608736127 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-03-02 |
| Authorized Official Name | DR. KORI NOVAK (CEO) |
| Authorized Official Telephone | 7608738464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | CA | Suppliers | |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | CA | Suppliers | |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP PROVIDER IDENTIFIER | 0577342 | 01 |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0577342 | 01 |
| Other Name | Type Code |
|---|---|
| Toiyabe Indian Health Project Clinic/Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447374012 | Toiyabe Indian Health Project, Inc. | Clinic/Center | 44-b Tu Su Lane, Bishop, CA 93514-8058 | 2007-03-19 |
| 1205950888 | Toiyabe Indian Health Project, Inc. | Clinic/Center | 1150 S Goodwin Road, Lone Pine, CA 93545 | 2007-03-19 |
| 1225331515 | Toiyabe Indian Health Project, Inc. | Clinic/Center | 73 Camp Antelope Road, Coleville, CA 96107-0000 | 2010-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TOIYABE INDIAN HEALTH PROJECT, INC. | 250 See Vee Ln, Bishop, CA 93514-8130 |
| Street Address |
250 N SEE VEE LN |
| City | BISHOP |
| State | CA |
| Zip Code | 93514-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323960 | Omar Musa | Nurse Practitioner | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2020-04-01 |
| 1508417395 | Fred Dirisio | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-24 |
| 1669023594 | Natalie Chi Ting Chang | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1437700382 | Tina Marie Rodriguez | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1760033708 | Jeffrey Tatum | Pharmacist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-20 |
| 1548722218 | Ressie Melissa Hess | Technician, Pathology | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-04-02 |
| 1730641333 | Micah Crystal Lent | Technician, Pathology | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-04-02 |
| 1609366236 | Tammy Warner | Dental Hygienist | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2018-05-18 |
| 1811409782 | Paul Ohnopee Chavez | Counselor | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2017-10-31 |
| 1952813826 | Sue Jin Park | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1982242590 | Amy Tran | Pharmacist | 1190 N Bishop St, Bishop, CA 93514 | 2019-12-13 |
| 1083266654 | Teresa Michelle Poirier | Psychologist | 512 W. Line Street, Suite 101, Bishop, CA 93514 | 2019-07-12 |
| 1477021756 | Linda M Christensen | Social Worker | 686 W. Line St., Bishop, CA 93514 | 2018-11-05 |
| 1013491497 | Kathleen Lynn Chandler | Massage Therapist | 214 W Line Street, Suite J, Bishop, CA 93514 | 2018-09-20 |
| 1477055390 | Alex Ds Ellis | Marriage & Family Therapist | 129 East Line St, Bishop, CA 93514 | 2018-03-07 |
| 1205366184 | Carla Orieta | Social Worker | 162 J-grove St., Bishop, CA 93514 | 2017-06-14 |
| 1871905778 | Bahman Payman | Obstetrics & Gynecology | 1500 Bear Creek Dr., Bishop, CA 93514 | 2014-05-27 |
| 1093972697 | Emery Joseph Duncan Dds Apc | Dentist | 325 Grove St, Bishop, CA 93514 | 2008-05-21 |
| 1407034622 | Steven Neal White | Acupuncturist | 162 E Line St Ste A, Bishop, CA 93514 | 2008-02-11 |
| Find all providers in zip 93514 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.