Lake Shastina Medical Clinic Inc
NPI 1356331615 · Family Medicine Physician · Weed, CA
Lake Shastina Medical Clinic Inc is a Family Medicine Physician organization in Weed, CA (NPI 1356331615).
Provider details
- NPI number
- 1356331615
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Phillip Miller, Ceo(530) 938-2297
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2005-10-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lake Shastina Medical Clinic Inc's NPI number?
- Lake Shastina Medical Clinic Inc's National Provider Identifier (NPI) is 1356331615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Shastina Medical Clinic Inc?
- Lake Shastina Medical Clinic Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Shastina Medical Clinic Inc located?
- Lake Shastina Medical Clinic Inc's practice location on file with NPPES is 16337 Everhart Dr, Weed, CA 96094-9400.
- What is Lake Shastina Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Shastina Medical Clinic Inc is (530) 938-2297.
- Who is the authorized official for Lake Shastina Medical Clinic Inc?
- The authorized official listed on Lake Shastina Medical Clinic Inc's NPPES record is Phillip Miller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Shastina Medical Clinic Inc's NPI active?
- Yes — Lake Shastina Medical Clinic Inc's NPI (1356331615) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.