NPIMap

Organization Active NPI

Chapa-de Indian Health Program Inc

  • Federally Qualified Health Center (FQHC)
  • Rocklin, CA
National Provider Identifier
1114869013
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CHAPA-DE INDIAN HEALTH PROGRAM INC
Practice address
1451 W Stanford Ranch Rd
Rocklin, CA 95765-4993
Phone
(530) 887-2800
Fax
(530) 887-2819
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mr. Sierk Haitsma
Title
Chief Financial Officer
Phone
(530) 887-2841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1451 W Stanford Ranch Rd
Rocklin, CA 95765-4993

Mailing address

11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2841

National Provider Directory

National Provider Directory
Tax ID family
Chapa de Indian HLTH8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1451 W Stanford Ranch Rd
Rocklin, CA 95765
Phone (530) 887-2800

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1114869013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 ATWOOD RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039522",
            "telephone_number": "530-887-2841",
            "fax_number": "530-887-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W STANFORD RANCH RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654993",
            "telephone_number": "530-887-2800",
            "fax_number": "530-887-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPA-DE INDIAN HEALTH PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "HAITSMA",
        "authorized_official_first_name": "SIERK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-887-2841",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.