Organization Active NPI

Lassen Medical Center

  • Family Medicine Physician
  • Susanville, CA
National Provider Identifier
1750413597
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.