Toiyabe Indian Health Project, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bishop, CA
NPI 1659433191 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1659433191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- EXEMPT (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
- Organization subpart
- Yes
- Parent organization (as reported)
- TOIYABE INDIAN HEALTH PROJECT, INC
Authorized official
- Name
- Earl W. Lent III
- Title
- Ceo
- Phone
- (760) 873-8464
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Practitioners 58
-
Grace Baker, NP
-
Tina Cassar, NP
-
Summer McGraw Frazier, M.D.
-
Robert D. Frey, M.D.
-
Maria Lourdes Gonzalez, LMFT
-
Christina E Raines, PA-C
-
Michelle Leann Saenz, MFT
-
Caryn Kendra Slack, M.D.
-
Susana Bach Tang, OD
-
Natalie Rose Vega, IMF 60496
-
Taema Frances Weiss, M.D.
-
Jacqueline E Yaris, M.D.
-
Gail Zwier, PH.D.
-
Andrew Hewchuck, D.P.M.
-
Omar Musa, FNP-C
-
Dana Faulkner Hodgdon, PH.D.
-
Margo Marie Lella, APRN, FNP
-
Donelle H Messih, RD
-
Uzair Siddiqui, MD
-
David Vernon Silva, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in CA
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
- Other · Non-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
- Other · Non-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
- Corporation · Non-profit
- Incorporated
- Jan 24, 1973 in CA
- Enrollment address
- 250 N See Vee LN
Bishop, CA 93514-8130
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecka Lee Davis |
W-2 Managing Employee |
Nov 10, 2023 | |
| W-2 Managing Employee |
Dec 5, 2023 | ||
| W-2 Managing Employee |
Dec 11, 2023 | ||
| Toiyabe Indian Health Project Inc |
5% Or Greater Direct Ownership Interest | Sep 16, 2021 | 100% |
| 5% Or Greater Direct Ownership Interest | Sep 20, 2021 | 100% | |
| Jessica Manuelito |
W-2 Managing Employee |
Mar 1, 2021 | |
| W-2 Managing Employee |
Sep 20, 2021 | ||
| Earl W Lent |
Corporate Officer |
Feb 12, 2024 | |
| W-2 Managing Employee |
Feb 12, 2024 | ||
| W-2 Managing Employee |
Feb 12, 2024 | ||
| Caitlin J Morley |
Corporate Officer |
Oct 28, 2024 | |
| W-2 Managing Employee |
Oct 28, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Toiyabe Indian Health Project Inc
Locations
250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461
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 MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | EXEMPT | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THP11576F | Medicaid | CA |
Other providers in Bishop, CA
- Elizabeth Anne Marie Thompson
- Natalie Marie Thon
- Thrifty Payless Inc
- Toiyabe Indian Health Project, Inc
- Toiyabe Indian Health Project, Inc
- Randall Leo Tolocko
- Sarah L Tomlinson
- Timothy E. Toppass
- Amy Tran
- Lisa Trunnell
All providers in Bishop, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.