K'Ima:W Medical Center
Organization Active NPI Clinic/Center · Hoopa, CA
NPI 1306904222 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1306904222
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- EXEMPT INDIAN TRIBE (CA)
- Legal business name
- K'IMA:W MEDICAL CENTER
- Practice address
- 535 Airport Rd
Hoopa, CA 95546-9615 - Phone
- (530) 625-4261
- Fax
- (530) 625-9308
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Wickard, CFO
- Title
- Chief Financial Officer
- Phone
- (530) 625-4261
Other NPIs on the same Medicare enrollment 1
Practitioners 37
-
Leslie Jeanne Ballard, M.D.
-
Troy Bassiri, MD
-
Jill Buller, MD
-
Claudia Collins, MD
-
Kevin Foley, PH.D.
-
May Chien-Shian Hong, M.D.
-
Victor Gregory Krall, D.P.M.
-
Steven Sust, MD
-
Jonathan David Kawulok Updike, MD, MPH
-
Christopher Voss, MD
-
Susan Nilsen Walsh, FNP
-
Sawar Chalutch Young, M.D.
-
Mark Stewart Simpson, PSYD, LADAC
-
Vanessa Casey Akines, FNP
-
Jeanne Diane Kimura, PSYD
-
Jessica Dawn Bradford, M.D.
-
Charles Di Leonardo, MSPAS, PA-C
-
John Alexander Israel, PSY.D
-
Mark Yeejen Liu, DO
-
Antoinette Patricia Martinez, M. D.
-
James J Matsuda, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416001480 | CA | Part B Supplier - Clinic/Group Practice | 5496740698 |
Receives reassigned benefits from 31 practitioners Practice locations: Hoopa, CA |
| O20060216000314 | CA | Part B Supplier - Ambulance Service Supplier | 5496740698 |
1 other NPI on this enrollment Practice locations: Hoopa, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | EXEMPT INDIAN TRIBE | CA | Yes |
Addresses
Primary practice location
535 Airport Rd
Hoopa, CA 95546-9615
Mailing address
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
Other practice location 1
535 Airport Rd MOBILE MEDICAL VEHICLE
Hoopa, CA 95546
Phone (530) 625-4261 ext. 0223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0699458 | Other | CA | CLIA |
| PHE43666 | Other | CA | PHARMACY |
| PHE436660 | Other | CA | PHARMACY MEDICAID NUMBER |
| 005540 | Other | CA | BC COUNTY MEDICAID |
| THP11573F | Medicaid | CA | |
| EAP11573F | Other | CA | EAPC |
| 0533922 | Other | CA | PHARMACY NABP |
Other names
- Kima-w Medical Center
- Hoopa Health Association
Other providers in Hoopa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.