Active NPI
Yurok Tribe
- Non-emergency Medical Transport (VAN)
- Klamath, CA
National Provider Identifier
1184221061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- YUROK TRIBE
- Practice address
- 190 Klamath Blvd
Klamath, CA 95548-1027 - Phone
- (707) 482-1350
- NPI assigned
- Oct 5, 2020
- Last updated
- May 15, 2025
- Organization subpart
- Yes
- Parent organization
- YUROK TRIBE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shoshoni Gensaw-Hostler, AMFT#123921
- Title
- Behavioral Health Director
- Phone
- (707) 482-1350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
190 Klamath Blvd
Klamath, CA 95548-1027
Mailing address
PO Box 1027
Klamath, CA 95548-1027
Phone (707) 482-1350
National Provider Directory
National Provider Directory- Part of
- Yurok Tribe
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1184221061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1027",
"city": "KLAMATH",
"state": "CA",
"postal_code": "955481027",
"telephone_number": "707-482-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 KLAMATH BLVD",
"city": "KLAMATH",
"state": "CA",
"postal_code": "955481027",
"telephone_number": "707-482-1350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUROK TRIBE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YUROK TRIBE",
"enumeration_date": "2020-10-05",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "GENSAW-HOSTLER",
"authorized_official_first_name": "SHOSHONI",
"authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
"authorized_official_telephone_number": "707-482-1350",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "AMFT#123921"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.