Active NPI
Lassen Medical Center
- Family Medicine Physician
- Susanville, CA
National Provider Identifier
1750413597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LASSEN MEDICAL CENTER
- Practice address
- 103 Fair Dr
Susanville, CA 96130-4201 - Phone
- (530) 257-7773
- Fax
- (530) 257-2939
- NPI assigned
- Mar 9, 2007
- Last updated
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Joyner
- Title
- Office Tech
- Phone
- (530) 257-7773
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Gynecology Physician | 207VG0400X | A35162 | CA | |
| General Practice Physician | 208D00000X | A35254 | CA |
Addresses
Primary practice location
103 Fair Dr
Susanville, CA 96130-4201
Mailing address
PO Box 1150
Susanville, CA 96130-1150
Phone (530) 257-7773
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Gynecology Physician
- Susanville, CA
- NPI 1730253469
-
- General Practice Physician
- Susanville, CA
- NPI 1063585792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1750413597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1150",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961301150",
"telephone_number": "530-257-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 FAIR DR",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304201",
"telephone_number": "530-257-7773",
"fax_number": "530-257-2939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASSEN MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "JOYNER",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "OFFICE TECH",
"authorized_official_telephone_number": "530-257-7773"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A35162",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A35254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
- Lassen County Public Health Department
- Lassen Family Services, Inc.
- Lassen Indian Health Center (Lassen Indian Health Center Pharmacy)
- Lassen Indian Health Center (Susanville Indian Rancheria)
- Lassen Intervention, LLC (Lassen Intervention)
- Lassen Surgery Center
- Jenny R Lemmon, BSN PHN
- Robert Leo, D.D.S.
- Trinity Leslie
- Michelle Lesowski, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.