Lake County Tribal Health Southshore Clinic
NPI 1063158038 · Federally Qualified Health Center (FQHC) · Clearlake, CA
Lake County Tribal Health Southshore Clinic is a Federally Qualified Health Center (FQHC) organization in Clearlake, CA (NPI 1063158038).
Provider details
- NPI number
- 1063158038
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Lake County Tribal Health Consortium Inc.
- Organization subpart
- Yes
- Authorized official
- Ernesto Padilla, Ceo(707) 263-8382
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2024-04-02
- Certified
- 2024-04-02
Frequently asked questions
- What is Lake County Tribal Health Southshore Clinic's NPI number?
- Lake County Tribal Health Southshore Clinic's National Provider Identifier (NPI) is 1063158038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake County Tribal Health Southshore Clinic?
- Lake County Tribal Health Southshore Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Lake County Tribal Health Southshore Clinic located?
- Lake County Tribal Health Southshore Clinic's practice location on file with NPPES is 14440 Olympic Drive, Clearlake, CA 95422.
- What is Lake County Tribal Health Southshore Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lake County Tribal Health Southshore Clinic is (707) 263-8382.
- Who is the authorized official for Lake County Tribal Health Southshore Clinic?
- The authorized official listed on Lake County Tribal Health Southshore Clinic's NPPES record is Ernesto Padilla, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake County Tribal Health Southshore Clinic's NPI active?
- Yes — Lake County Tribal Health Southshore Clinic's NPI (1063158038) is active in the NPPES registry as of the last update on 2024-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.