KARUK TRIBE NPI 1952483406

NPI Information

  • NPI: 1952483406
  • Provider Name: KARUK TRIBE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D0618371
  • Address: 64105 HILLSIDE ROAD
    HAPPY CAMP, CA
    ZIP 96039
  • Phone: (530) 493-1450

Map and Directions

Get Directions

NPI Details

KARUK TRIBE is a general practice in Happy Camp, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KARUK TRIBE NPI is 1952483406. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

64105 HILLSIDE ROAD
HAPPY CAMP, CA
ZIP 96039
Phone: (530) 493-1450
Fax: (530) 493-1451

The provider's authorized official is Eileen Mary Tiraterra .
The authorized official title is Business Office Director and has the following contact phone number (530) 493-1600.

The CLIA number assigned to this NPI record is 05D0618371 - other - indian hlth clnc karuk tr with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/20/2006 and was last updated on 1/30/2025.

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
11041C0700XSocial WorkerClinicalCALIFORNIANo
21223G0001XDentistGeneral PracticeCALIFORNIANo
3208D00000XGeneral PracticeCALIFORNIAYes

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
11952483406MEDICAIDCALIFORNIA
21952483406OTHERCALIFORNIAMEDICARE
31952483406OTHERCALIFORNIANPI
4ZZZ09861ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI