NPIMap

Organization Active NPI

Karuk Tribe

Doing business as Karuk Community Health Clinic

  • General Practice Physician
  • Happy Camp, CA
National Provider Identifier
1952483406
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KARUK TRIBE
Doing business as
Karuk Community Health Clinic
Practice address
64105 Hillside Road
Happy Camp, CA 96039
Phone
(530) 493-1450
Fax
(530) 493-1451
NPI assigned
Oct 20, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Eileen Mary Tiraterra
Title
Business Office Director
Phone
(530) 493-1600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CA
General Practice Dentistry 1223G0001X CA
General Practice Physician 208D00000X CA Primary

Addresses

Primary practice location

64105 Hillside Road
Happy Camp, CA 96039

Mailing address

PO Box 1016
Happy Camp, CA 96039-1016
Phone (530) 493-5257

Other practice location 1

64109 Hillside Road
Happy Camp, CA 96039
Phone (530) 493-5257

Other practice location 2

64100 Hillside Road
Happy Camp, CA 96039
Phone (530) 493-1650

Other identifiers 4

IdentifierTypeStateIssuer
1952483406OtherCAMEDICARE
ZZZ09861ZOtherCABLUE SHIELD OF CALIFORNIA
1952483406OtherCANPI
1952483406MedicaidCA

Other names 1

  • KARUK COMMUNITY HEALTH CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000866 CA Part B Supplier - Clinic/Group Practice 4688668387 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orleans, CA; Yreka, CA; Happy Camp, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Practitioners & affiliated clinicians

Practitioners 10

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1952483406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960391016",
            "telephone_number": "530-493-5257",
            "fax_number": "530-493-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64105 HILLSIDE ROAD",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "96039",
            "telephone_number": "530-493-1450",
            "fax_number": "530-493-1451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64109 Hillside Road",
            "address_purpose": "LOCATION",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "96039",
            "country_code": "US",
            "telephone_number": "530-493-5257",
            "fax_number": "530-493-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64100 Hillside Road",
            "address_purpose": "LOCATION",
            "city": "Happy Camp",
            "state": "CA",
            "postal_code": "96039",
            "country_code": "US",
            "telephone_number": "530-493-1650",
            "fax_number": "530-493-5364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARUK TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "TIRATERRA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "530-493-1600"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1952483406",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ09861Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952483406",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952483406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KARUK COMMUNITY HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Happy Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.