| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1356331615 | LAKE SHASTINA MEDICAL CLINIC INC | 16337 EVERHART DR | WEED | CA | 960949400 | |||
| 1992796064 | MILLER | JILL | C | 16337 EVERHART DR | WEED | CA | 960949400 | |
| 1447506472 | OTT | JEFFREY | ALEXANDER | 16337 EVERHART DR | WEED | CA | 960949400 | |
| 1225562119 | ROGGOW | ISAIAH | 16337 EVERHART DR | WEED | CA | 960949400 |