NPIMap

Organization Active NPI

Toiyabe Indian Health Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Bishop, CA
National Provider Identifier
1659433191
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
EXEMPT Issued in CA
Legal business name
TOIYABE INDIAN HEALTH PROJECT, INC
Practice address
250 N See Vee LN
Bishop, CA 93514-8130
Phone
(760) 873-8464
Fax
(760) 503-4174
NPI assigned
Dec 14, 2006
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TOIYABE INDIAN HEALTH PROJECT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Earl W. Lent III
Title
Ceo
Phone
(760) 873-8464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X EXEMPT CA Primary

Addresses

Primary practice location

250 N See Vee LN
Bishop, CA 93514-8130

Mailing address

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8464

Other practice location 1

199 Twin Lakes Road
Bridgeport, CA 93517-0000
Phone (530) 495-2100

Other practice location 2

1150 Goodwin Rd
Lone Pine, CA 93545-3005
Phone (760) 876-4795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050411000182 CA Part B Supplier - Clinic/Group Practice 2668419813 Receives reassigned benefits from 32 practitioners
Practice locations: Bishop, CA; Bridgeport, CA; Lone Pine, CA
O20110309000238 CA Part A Provider - Federally Qualified Health Center (FQHC) 2668419813 1 other NPI on this enrollment
Practice locations: Lone Pine, CA
O20120312000251 CA Part A Provider - Federally Qualified Health Center (FQHC) 2668419813 1 other NPI on this enrollment
Practice locations: Bridgeport, CA
O20120601000378 CA Part A Provider - Federally Qualified Health Center (FQHC) 2668419813 Practice locations: Bishop, CA

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1659433191. Details of each certification follow.

Federally qualified health center certification: CCN 051869

Legal name
TOIYABE INDIAN HEALTH PROJECT INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 24, 1973 in CA
Enrollment address
1150 Goodwin Rd
Lone Pine, CA 93545-3005

Federally qualified health center certification: CCN 051870

Legal name
TOIYABE INDIAN HEALTH PROJECT INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 24, 1973 in CA
Enrollment address
199 Twin Lakes Rd
Bridgeport, CA 93517-8050

Federally qualified health center certification: CCN 051868

Legal name
TOIYABE INDIAN HEALTH PROJECT INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1973 in CA
Enrollment address
250 N See Vee LN
Bishop, CA 93514-8130

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Toiyabe Indian HLTH PRJ

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

44 N Tu Su Ln
#B
Bishop, CA 93514
Phone (760) 873-7611

52 N Tu Su Ln
Bishop, CA 93514
Phone (760) 873-8461

73 Camp Antelope Rd
Coleville, CA 96107
Phone (530) 495-2100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Rebecka Lee Davis Individual W-2 Managing EmployeeController Nov 10, 2023
W-2 Managing EmployeeController Dec 5, 2023
W-2 Managing EmployeeController Dec 11, 2023
Toiyabe Indian Health Project Inc Organization, Bishop, CA 5% Or Greater Direct Ownership Interest Sep 16, 2021 100%
5% Or Greater Direct Ownership Interest Sep 20, 2021 100%
Jessica Manuelito Individual W-2 Managing EmployeeBilling Supervisor Mar 1, 2021
W-2 Managing EmployeeBilling Supervisor Sep 20, 2021
Earl W Lent Individual Corporate OfficerCeo Feb 12, 2024
W-2 Managing EmployeeAd;Ceo Feb 12, 2024
W-2 Managing EmployeeAd; Feb 12, 2024
Caitlin J Morley Individual Corporate OfficerCoo Oct 28, 2024
W-2 Managing EmployeeCoo Oct 28, 2024

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1659433191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8464",
            "fax_number": "760-873-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SEE VEE LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935148130",
            "telephone_number": "760-873-8464",
            "fax_number": "760-503-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Twin Lakes Road",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CA",
            "postal_code": "935170000",
            "country_code": "US",
            "telephone_number": "530-495-2100",
            "fax_number": "530-495-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Goodwin Rd",
            "address_purpose": "LOCATION",
            "city": "Lone Pine",
            "state": "CA",
            "postal_code": "935453005",
            "country_code": "US",
            "telephone_number": "760-876-4795",
            "fax_number": "760-876-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOIYABE INDIAN HEALTH PROJECT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOIYABE INDIAN HEALTH PROJECT, INC",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "LENT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-873-8464",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.