Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lassen Indian Health Center

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1053484998

Lassen Indian Health Center is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Susanville, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

795 Joaquin St
Susanville, CA 96130-3628
Phone: (530) 251-5173
Fax: (530) 251-1846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) Taxonomy 332800000X · Licence PHE47046 (CA)

Record details

NPI number1053484998
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSusanville Indian Rancheria
Authorized official Lona Marioneaux Ibanitoru — Ceo · (530) 251-5173
Other names Lassen Indian Health Center Pharmacy; Lassen Indian Health Center Pharmacy
NPI enumeratedNovember 16, 2006
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address795 Joaquin St, Susanville, CA 96130-3628