| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1912277864 | GRANITE WELLNESS CENTERS | PO BOX 6028 | AUBURN | CA | 956046028 | |||
| 1528208725 | BROWN | RICHARD | JAMES | PO BOX 2099 | KINGS BEACH | CA | 961432099 | |
| 1538585567 | MCNULTY | MICHAEL | PO BOX 6028 | AUBURN | CA | 956046028 | ||
| 1568653905 | PANGALLO | JOHN | JOSEPH | PO BOX 2099 | KINGS BEACH | CA | 961432099 | |
| 1588115067 | SMITH | SUSAN | PO BOX 2099 | KINGS BEACH | CA | 961432099 |