NPIMap

Organization Active NPI

Tahoe Forest Hospital District

Doing business as Tahoe Forest MSC IM/Card RHC

  • Rural Health Clinic/Center
  • Truckee, CA
National Provider Identifier
1255835906
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
Tahoe Forest MSC IM/Card RHC
Practice address
10978 Donner Pass Rd
Truckee, CA 96161-0433
Phone
(530) 582-1212
NPI assigned
Mar 19, 2018
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TAHOE FOREST HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Crystal Felix
Title
Cfo
Phone
(530) 582-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

10978 Donner Pass Rd
Truckee, CA 96161-0433

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835

Other names 1

  • Tahoe Forest MSC IM/Card RHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716002014 CA Part A Provider - Rural Health Clinic 0446161335 Practice locations: Truckee, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255835906. Details of each certification follow.

Rural health clinic certification: CCN 058713

Legal name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
TAHOE FOREST MULTISPECIALTY CLINICS-IM/CARD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 27, 2019
Last certification
Aug 27, 2019
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
10978 Donner Pass Rd
Truckee, CA 96161-0433
Related CCNs
051328

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

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
05D1084334Tahoe Forest Multispecialty Clinic10978 Donner Pass Rd, Truckee, CA 96161Provider-performed microscopyMar 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Tahow Forest Hosp District11 organizations share this tax ID, including this one
Part of
Tahow Forest Hosp District

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tahoe Forest Hospital District Organization, Truckee, CA 5% Or Greater Direct Ownership Interest Aug 28, 2019 100%
Jason Dorst Individual Corporate OfficerChief Information and Innovation Sep 1, 2014
Robert J Darzynkiewicz Individual Corporate DirectorBoard Member Dec 6, 2024
Sandra M Walker Individual W-2 Managing EmployeeDirector Jul 8, 2018
Dale Chamblin Individual Corporate DirectorBoard Treasurer Feb 12, 2013
Mary a Brown Individual Corporate DirectorBoard Member Jun 22, 2017
Louis Ward Individual Corporate OfficerCoo Jun 27, 2024
Michael McGarry Individual Corporate DirectorBoard Member Feb 27, 2020
Crystal Felix Individual Corporate OfficerCfo Mar 1, 2004
Alyce Wong Individual Corporate DirectorBoard Member Dec 15, 2016
Anna Roth Individual Corporate OfficerPresident and Ceo Mar 10, 2025

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Incline Village Community HospitalIncline Village, NV, CCN 291301 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 6, 1996
Tahoe Forest HospitalTruckee, CA, CCN 051328 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 6, 2013
Tahoe Forest HospitalTruckee, CA, CCN 05Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Hospital SNFTruckee, CA, CCN 555231 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 22, 2012
Aug 22, 2012
Tahoe Forest Home Health ServicesTruckee, CA, CCN 057200 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1966
Tahoe Forest HospiceTruckee, CA, CCN 051732 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Multispecialty Clinic Pediatrics/Primary CareTruckee, CA, CCN 058707 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2011
Tahoe Forest Multispecialty Clinic-Incline VillageIncline Village, NV, CCN 293992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2007
Jun 1, 2007
Tahoe Forest Multispecialty Clinic - Im/OBTruckee, CA, CCN 058724 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2007

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1255835906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "530-582-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE FOREST HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAHOE FOREST HOSPITAL DISTRICT",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-582-6656"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tahoe Forest MSC IM/Card RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tahoe Forest MSC IM/Card RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.