Lake Shastina Medical Clinic Inc
NPI 1356331615ActiveOrganization· Family Medicine· Weed, CA
Family Medicine in Weed, California, registered in NPPES in October 2005. The authorized official on file is Phillip M. Miller, M.D., Ceo.
Overview
| NPI | 1356331615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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