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Lake Health Services

Community/Retail Pharmacy in Clearlake, CA · enumerated 2005 · authorized official Tim Nguyen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770580268

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Health Services
Other name <Unavail>
Parent organization Lake Health Services
Practice address 15230 Lakeshore Dr, Clearlake, CA, 95422
Phone (707) 994-3141
Fax (707) 994-7150
Enumeration date Jun 30, 2005
Last updated in NPPES May 1, 2020

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY55420 (CA) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Tim Nguyen
Title President
Phone (925) 586-2112

Other identifiers

Identifier Type State Issuer
2001004 Other - PK
PHA471230 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Health Services?
Lake Health Services is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-01.