NPIMap

Organization Active NPI

Humboldt del Norte Independent Practice Association

  • Health Maintenance Organization
  • Eureka, CA
National Provider Identifier
1457565152
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION
Practice address
2316 Harrison Ave
Eureka, CA 95501-3217
Phone
(707) 442-0478
Fax
(707) 443-2527
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Lisa Green
Title
Hub Analyst
Phone
(707) 443-4563

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2316 Harrison Ave
Eureka, CA 95501-3217

Mailing address

2315 Dean St
Eureka, CA 95501-3208
Phone (707) 443-4563

Other practice location 1

2315 Dean St
Eureka, CA 95501-3208
Phone (707) 443-4563 ext. 114

Other identifiers 1

IdentifierTypeStateIssuer
10180OtherCADEPT. MANAGEMENT HEALTHCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000534 CA Part B Supplier - Clinic/Group Practice 1658367776 Receives reassigned benefits from 6 practitioners
Practice locations: Eureka, CA

National Provider Directory

National Provider Directory

Locations

3100 Edgewood Rd
Eureka, CA 95501
Phone (707) 443-0124

2315 Dean St
Eureka, CA 95501
Phone (707) 525-3786

2662 Harris St
Eureka, CA 95503
Phone 707443446314

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1457565152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DEAN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013208",
            "telephone_number": "707-443-4563",
            "fax_number": "707-443-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "707-442-0478",
            "fax_number": "707-443-2527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Dean St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955013208",
            "country_code": "US",
            "telephone_number": "707-443-4563 x114",
            "fax_number": "707-443-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HUB ANALYST",
        "authorized_official_telephone_number": "707-443-4563"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. MANAGEMENT HEALTHCA",
            "identifier": "10180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.