LASSEN MEDICAL GROUP NPI 1013056910

NPI Information

  • NPI: 1013056910
  • Provider Name: LASSEN MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 702 SOLANO STREET
    CORNING, CA
    ZIP 96021
  • Phone: (530) 824-9590

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NPI Details

LASSEN MEDICAL GROUP is a family medicine in Corning, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LASSEN MEDICAL GROUP NPI is 1013056910. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

702 SOLANO STREET
CORNING, CA
ZIP 96021
Phone: (530) 824-9590

The provider's authorized official is Kim Hake .
The authorized official title is Manager and has the following contact phone number (530) 528-4419.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RHM53956FMEDICAIDCALIFORNIA
2ZZZ20793ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PART B
3553956MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
4GR0089251MEDICAIDCALIFORNIA
5553956MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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