TAHOE FOREST MULTISPECIALTY CLINICS
NPI 1285174169
Clinic/Center - Rural Health in Truckee, CA

NPI Status: Active since February 27, 2017

Contact Information

10956 DONNER PASS RD
SUITE 130
TRUCKEE, CA
ZIP 96161
Phone: (530) 587-3523

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 05D2050855
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-06-2026

About TAHOE FOREST MULTISPECIALTY CLINICS

This page provides the complete NPI Profile along with additional information for Tahoe Forest Multispecialty Clinics, a primary care provider established in Truckee, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1285174169 assigned on February 2017. The practitioner's primary taxonomy code is 261QR1300X with license number 230000151 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Tahoe Forest Multispecialty Clinics. The authorized official of this NPI record is Crystal Betts (Cfo)

NPI
1285174169
Provider Legal Name
TAHOE FOREST HOSPITAL DISTRICT
Other Organization Name
TAHOE FOREST MULTISPECIALTY CLINICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10956 DONNER PASS RD SUITE 130 TRUCKEE, CA 96161
Location Phone
(530) 587-3523
Mailing Address
10956 DONNER PASS RD SUITE 130 TRUCKEE, CA 96161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2017
Last Update Date
02-27-2017
Code Navigator

A primary care provider (PCP) like Tahoe Forest Multispecialty Clinics sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
230000151
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL BETTS

Authorized Official Title
CFO
Authorized Official Phone
(530) 582-6656

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2050855
Facility Type
Physician Office
Certificate Effective Date
December 07, 2024
Certificate Expiration Date
December 06, 2026
Laboratory Director
ALIDA FIAMENGO DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Tahoe Forest Multispecialty Clinics in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285174169
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165278112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 7 + 8 + 1 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285174169 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912903113MS. JENNIFER LANG REE P.N.P.
Individual
Nurse Practitioner (Pediatrics)10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
(530) 587-3523
1376549667DR. ELSE UGLUM M.D.
Individual
Pediatrics10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
(530) 587-3523
1265430946DR. DAVID G. KITTS M.D.
Individual
Surgery10956 DONNER PASS RD SUITE 210
TRUCKEE, CA 96161
(530) 550-8189
1821080144DR. GREGORY B. TIRDEL MD
Individual
Internal Medicine10956 DONNER PASS RD SUITE 260
TRUCKEE, CA 96161
(530) 582-6400
1407895667 SUSAN CAROL MCMULLEN N.P.02/07/1966
Individual
Nurse Practitioner (Family)10956 DONNER PASS RD #230
TRUCKEE, CA 96161
(530) 582-3277
1629014931 KENNETH KIRK RITCHIE MD
Individual
Ophthalmology10956 DONNER PASS RD 120
TRUCKEE, CA 96161
(530) 582-3666
1225066004MISS BEVERLY MUSTAIN CFNP
Individual
Nurse Practitioner10956 DONNER PASS RD ST 260
TRUCKEE, CA 96161
(530) 582-6400
1457382079 LAURENCE JAY HEIFETZ MD
Individual
Internal Medicine (Medical Oncology)10956 DONNER PASS RD SUITE 210
TRUCKEE, CA 96161
(530) 582-6450
1497764443MS. LINDA NMI LONG LCSW
Individual
Social Worker (Clinical)10956 DONNER PASS RD SUITE 360
TRUCKEE, CA 96161
(530) 587-1978
1427166974 LAWRENCE A DANTO M.D.
Individual
Surgery10956 DONNER PASS RD SUITE 310
TRUCKEE, CA 96161
(530) 587-8801
1417012931 CHRISTINE ANN SPENCER
Individual
Nurse Practitioner (Family)10956 DONNER PASS RD SUITE 230
TRUCKEE, CA 96161
(530) 582-3277
1508987710DAVID G. KITTS, M.D., INC
Organization
Surgery10956 DONNER PASS RD SUITE 210
TRUCKEE, CA 96161
(530) 550-8189
1306014311DAVID E. CONDON D.P.M.
Organization
Durable Medical Equipment & Medical Supplies10956 DONNER PASS RD #310
TRUCKEE, CA 96161
(530) 587-7790
1720301955 KIRK W DITTERICH PSYD
Individual
Psychologist (Clinical)10956 DONNER PASS RD STE 330
TRUCKEE, CA 96161
(530) 582-6450
1942517354 DAWN R. SPILLMAN M.A.
Individual
Marriage & Family Therapist10956 DONNER PASS RD SUITE 360
TRUCKEE, CA 96161
(530) 414-3809
1689695876 OLEG A. VAYNER
Individual
Pediatrics10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
(530) 587-3523
1831195122DR. CHRISTOPHER ARTH M.D.
Individual
Pediatrics10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
(530) 587-3523
1821094855DR. DEBORAH ANN BROWN M.D.
Individual
Pediatrics10956 DONNER PASS RD STE 130
TRUCKEE, CA 96161
(530) 587-3523
1184778839DONNER PASS MEDICAL ASSOCIATES
Organization
Internal Medicine10956 DONNER PASS RD SUITE 260
TRUCKEE, CA 96161
(530) 582-6400
1821081696TRUCKEE TAHOE MEDICAL GROUP INC
Organization
Family Medicine10956 DONNER PASS RD
TRUCKEE, CA 96161
(530) 581-8864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285174169, enumerated in the NPI registry as an "organization" on February 27, 2017

The provider is located at 10956 Donner Pass Rd Suite 130 Truckee, Ca 96161 and the phone number is (530) 587-3523

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider's CLIA number is 05D2050855 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 27, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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