K'Ima:W Medical Center
Organization Active NPI Clinic/Center · Hoopa, CA
NPI 1861661365 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1861661365
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- EXEMPT INDIAN TRIBE (CA)
- Legal business name
- K'IMA:W MEDICAL CENTER
- Practice address
- 535 Airport Rd
Hoopa, CA 95546-9615 - Phone
- (530) 625-4261
- Fax
- (530) 625-9308
- NPI assigned
- Feb 28, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- KIMA-W MEDICAL CENTER
Authorized official
- Name
- Mr. David Wickard, CFO
- Title
- Chief Financial Officer
- Phone
- (530) 625-4261
Other NPIs on the same Medicare enrollment 1
Practitioners 27
-
Leslie Jeanne Ballard, M.D.
-
Troy Bassiri, MD
-
Jill Buller, MD
-
Claudia Collins, MD
-
Kevin Foley, PH.D.
-
May Chien-Shian Hong, M.D.
-
Victor Gregory Krall, D.P.M.
-
Mark Yeejen Liu, DO
-
Antoinette Patricia Martinez, M. D.
-
James J Matsuda, MD
-
Eva Marie Smith, M.D., M.P.H.
-
Steven Sust, MD
-
Jonathan David Kawulok Updike, MD, MPH
-
Christopher Voss, MD
-
Susan Nilsen Walsh, FNP
-
Sawar Chalutch Young, M.D.
-
Mark D Rader, MD
-
Mark Stewart Simpson, PSYD, LADAC
-
Damon Moon Cross, CADC-II
-
Marilyn L Fox, MFT
-
Suzanne Garrett, MSW, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060216000314 | CA | Part B Supplier - Ambulance Service Supplier | 5496740698 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hoopa, CA |
National Provider Directory
- Part of
- Kima-W Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | EXEMPT INDIAN TRIBE | CA | Yes |
Addresses
Primary practice location
535 Airport Rd
Hoopa, CA 95546-9615
Mailing address
PO Box 1288
535 Airport Rd
Hoopa, CA 95546-1288
Phone (530) 625-4261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ84024Z | Medicaid | CA |
Other names
- Kima-w Medical Center
Other providers in Hoopa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.