| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1992346852 | BONDERUD | DERRICK | HANS | 838 BEACH COURT | LOTUS | CA | 95651 | |
| 1255988267 | GONZALEZ | ANTHONY | JAMES | 838 BEACH CT | LOTUS | CA | 95651 | |
| 1326636416 | JOHNSON-FORSETH | JUDY | LORRAINE | 838 BEACH COURT | LOTUS | CA | 956513415 | |
| 1174283543 | PATTERSON | CHEYENNE | LEE | PO BOX 1666 | PLACERVILLE | CA | 956671666 |