IndividualActive
River Lassotovitch
NPI 1164292918 · Community Health Worker · Ukiah, CA
River Lassotovitch is a Community Health Worker provider in Ukiah, CA (NPI 1164292918).
Provider details
- NPI number
- 1164292918
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
776 S State St Ste 103
Ukiah, CA 95482-5833
Phone: (707) 463-4915
Street-level locationGet directions
Mailing address
776 S State St Ste 103
Ukiah, CA 95482-5833
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Frequently asked questions
- What is River Lassotovitch's NPI number?
- River Lassotovitch's National Provider Identifier (NPI) is 1164292918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is River Lassotovitch's specialty?
- River Lassotovitch is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is River Lassotovitch located?
- River Lassotovitch's practice location on file with NPPES is 776 S State St Ste 103, Ukiah, CA 95482-5833.
- What is River Lassotovitch's phone number?
- The practice phone number listed in the NPPES registry for River Lassotovitch is (707) 463-4915.
- Is River Lassotovitch's NPI active?
- Yes — River Lassotovitch's NPI (1164292918) is active in the NPPES registry as of the last update on 2024-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.