Organization Active NPI

Manzanita Health Department

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Chula Vista, CA
National Provider Identifier
1053254714
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
MANZANITA HEALTH DEPARTMENT
Practice address
222 3Rd Ave
Chula Vista, CA 91910-2711
Phone
(435) 619-2393
NPI assigned
Apr 9, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dallon Echohawk
Title
Deputy Health Director
Phone
(435) 619-2393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NU Primary

Addresses

Primary practice location

222 3Rd Ave
Chula Vista, CA 91910-2711

Mailing address

PO Box 1302
Boulevard, CA 91905-0402
Phone (435) 619-2393

National Provider Directory

National Provider Directory
Tax ID family
Manzanita Health Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

222 Third Ave
Chula Vista, CA 91910
Phone (435) 619-2393

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1053254714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1302",
            "city": "BOULEVARD",
            "state": "CA",
            "postal_code": "919050402",
            "telephone_number": "435-619-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102711",
            "telephone_number": "435-619-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZANITA HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "ECHOHAWK",
        "authorized_official_first_name": "DALLON",
        "authorized_official_title_or_position": "DEPUTY HEALTH DIRECTOR",
        "authorized_official_telephone_number": "435-619-2393"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.