NPIMap

Organization Active NPI

Karuk Tribe

Doing business as Karuk Orleans Medical Clinic

  • Family Medicine Physician
  • Orleans, CA
National Provider Identifier
1386726032
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KARUK TRIBE
Doing business as
Karuk Orleans Medical Clinic
Practice address
325 Asip Rd
Orleans, CA 95556-0249
Phone
(530) 627-3452
Fax
(503) 627-3445
NPI assigned
Oct 20, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Eileen Mary Tiraterra
Title
Business Office Director
Phone
(530) 493-1600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

325 Asip Rd
Orleans, CA 95556-0249

Mailing address

PO Box 1016
Happy Camp, CA 96039-1016
Phone (530) 493-1600

Other identifiers 3

IdentifierTypeStateIssuer
1386726032OtherCAMEDICARE
1386726032MedicaidCA
ZZZ09862ZOtherBLUE SHIELD OF CALIFORNIA

Other names 1

  • KARUK ORLEANS MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000866 CA Part B Supplier - Clinic/Group Practice 4688668387 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orleans, CA; Yreka, CA; Happy Camp, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Karuk Tribe

    dba Karuk Tribal Health Program

    • General Practice Physician
    • Yreka, CA
    • NPI 1730279423

    O20040414000866

    Same enrollment
  • Karuk Tribe

    dba Karuk Community Health Clinic

    • General Practice Physician
    • Happy Camp, CA
    • NPI 1952483406

    O20040414000866

    Same enrollment

National Provider Directory

National Provider Directory

Locations

38 Park Way
Happy Camp, CA 96039
Phone (530) 493-2643

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1386726032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960391016",
            "telephone_number": "530-493-1600",
            "fax_number": "530-493-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ASIP RD",
            "city": "ORLEANS",
            "state": "CA",
            "postal_code": "955560249",
            "telephone_number": "530-627-3452",
            "fax_number": "503-627-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARUK TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "TIRATERRA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "530-493-1600"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1386726032",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386726032",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ09862Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KARUK ORLEANS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orleans, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.