Susanville Indian Rancheria
NPI 1770564049 · Federally Qualified Health Center (FQHC) · Susanville, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susanville Indian Rancheria is a Federally Qualified Health Center (FQHC) organization in Susanville, CA (NPI 1770564049).
Provider details
- NPI number
- 1770564049
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lona Marioneaux Ibanitoru, Ceo(530) 251-5184
- License
- 230000120 (CA)
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
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
Other names (DBA / former)
- Doing business as
- Lassen Indian Health Center
- Doing business as
- Lassen Indian Health Center
Registry dates
- Enumerated
- 2005-11-14
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Frequently asked questions
- What is Susanville Indian Rancheria's NPI number?
- Susanville Indian Rancheria's National Provider Identifier (NPI) is 1770564049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susanville Indian Rancheria?
- Susanville Indian Rancheria is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Susanville Indian Rancheria located?
- Susanville Indian Rancheria's practice location on file with NPPES is 795 Joaquin St, Susanville, CA 96130-3628.
- What is Susanville Indian Rancheria's phone number?
- The practice phone number listed in the NPPES registry for Susanville Indian Rancheria is (530) 257-2542.
- Does Susanville Indian Rancheria accept Medicare?
- Susanville Indian Rancheria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Susanville Indian Rancheria?
- The authorized official listed on Susanville Indian Rancheria's NPPES record is Lona Marioneaux Ibanitoru, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susanville Indian Rancheria's NPI active?
- Yes — Susanville Indian Rancheria's NPI (1770564049) is active in the NPPES registry as of the last update on 2026-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.