NPIMap

Organization Active NPI

Toiyabe Indian Health Project, Inc

  • Clinic Pharmacy
  • Bishop, CA
National Provider Identifier
1093720609
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
TOIYABE INDIAN HEALTH PROJECT, INC
Practice address
250 N See Vee LN
Bishop, CA 93514-8130
Phone
(760) 873-4721
Fax
(760) 503-0211
NPI assigned
Jul 30, 2006
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mr. Emeterio Medina
Title
Pharmd, Pic
Phone
(760) 873-4721

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CA
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NU
Clinic Pharmacy 3336C0002X CA Primary

Addresses

Primary practice location

250 N See Vee LN
Bishop, CA 93514-8130

Mailing address

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-4721

Other identifiers 2

IdentifierTypeStateIssuer
0577342OtherCANCPDP PROVIDER IDENTIFIER
55424OtherCABOARD OF PHARMACY LICENSE

Other names 1

  • Toiyabe Indian Health Project Clinic/Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426001745 CA Part B Supplier - Pharmacy 2668419813 Practice locations: Bishop, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0873028Toiyabe Clinic/Toiyabe Indian Health250 See Vee Lane, Bishop, CA 93514Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Toiyabe Indian HLTH PRJ2 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

44 N Tu Su Ln
Bishop, CA 93514
Phone (760) 873-6111

44 N Tu Su Ln
#B
Bishop, CA 93514
Phone (760) 873-7611

52 N Tu Su Ln
Bishop, CA 93514
Phone (760) 873-8461

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Toiyabe Indian Health Project IncLone Pine, CA, CCN 051869 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 16, 2021
Toiyabe Indian Health Project IncBridgeport, CA, CCN 051870 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 20, 2021
Toiyabe Indian Health Project IncBishop, CA, CCN 051868 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 20, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1093720609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-4721",
            "fax_number": "760-873-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-4721",
            "fax_number": "760-503-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOIYABE INDIAN HEALTH PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "EMETERIO",
        "authorized_official_title_or_position": "PHARMD, PIC",
        "authorized_official_telephone_number": "760-873-4721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "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": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFIER",
            "identifier": "0577342",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "55424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toiyabe Indian Health Project Clinic/Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Toiyabe Indian Health Project Clinic/Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.