Humboldt Del Norte Independent Practice Association
Health Maintenance Organization in Eureka, CA. Organization (NPI-2).
NPI number1457565152
StatusActive
Last updated in NPPESApr 12, 2026
Details
- NPI
- 1457565152
- Entity type
- Organization (NPI-2)
- Legal business name
- Humboldt Del Norte Independent Practice Association
- Organization subpart
- No
- Enumeration date
- May 10, 2007
- Certification date
- Apr 12, 2026
- Last updated
- Apr 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
2316 Harrison AveEureka, CA 95501-3217
Phone 707-442-0478 · Fax 707-443-2527
Mailing address
2315 Dean StEureka, CA 95501-3208
Phone 707-443-4563 · Fax 707-443-2527
Other practice locations
2315 Dean St
Eureka, CA 95501-3208
Eureka, CA 95501-3208
Phone 707-443-4563 · Fax 707-443-2527
Authorized official
Lisa Green
Hub Analyst
7074434563
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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