OrganizationActive
Manzanita Health Department
NPI 1053254714 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Chula Vista, CA
Provider details
- NPI number
- 1053254714
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dallon Echohawk, Deputy Health Director(435) 619-2393
Specialties & taxonomies
Suppliers
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Pediatric Dentistry1223P0221X
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
222 3rd Ave
Chula Vista, CA 91910-2711
Phone: (435) 619-2393
Street-level locationGet directions
Mailing address
Po Box 1302
Boulevard, CA 91905-0402
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.