The Northern California clinic.
A tribally-owned primary care clinic opening June 2026 in rural Northern California, delivering integrated medical, dental, behavioral health, traditional health, and public health services. Structured from day one to convert to a 638 self-determination contract in July 2026.
Five service lines, one clinic.
Medical
Primary care for adults and children, chronic disease management, preventive care, acute visits, and referral coordination to specialty care through the IHA dual-site network with the LA clinic.
Dental
Preventive, routine, and restorative dental care for the tribal community. Integrated with medical so patients move between services without repeating intake.
Behavioral Health Therapy
Licensed LCSW and LMFT clinicians delivering individual, family, and group therapy. Staffed with two BH therapists at opening, integrated with traditional health for patients who want both.
Traditional Health
A dedicated space for traditional health practices under the direction of tribal cultural leaders. Developed in alignment with the ICHAS cultural care accreditation framework.
Public Health
Community health work, prevention programs, health education, outreach, and population health tracking. Delivered by community health workers embedded in the tribal community.
Staff are tribal employees. From day one.
Every non-physician role at the Northern California clinic is structured as direct tribal employment, not as contracted IHA staff. That means behavioral health therapists, community health workers, medical assistants, and public health staff are tribal employees with tribal benefits, reporting through tribal governance.
This matters for sovereignty, continuity, and the 638 transition. When the clinic converts to tribal operation in July 2026, staffing does not have to change. It is already tribal.
The shortest path to tribal operation.
Clinic opens under IHA management services, with all non-physician staff hired directly by the partner tribe.
Clinic converts to operation under a 638 self-determination contract. IHA transitions to a supporting role.
The tribe retains clinical authority, staffing, and community accountability. IHA continues dual-site support on specialty referrals and shared services.
Where tribal care actually happens.
The Northern California clinic is where primary care, cultural care, and community health work happen: inside the tribal community, with tribal staff. The Los Angeles clinic provides cross-site specialist depth, telehealth, and shared services so a rural tribal community can sustain a full-service clinic. Neither site is a branch of the other; both are the work.
We're hiring for the Northern California clinic.
Six positions currently posted across behavioral health, community health, and clinical support.
- LCSW or LMFT (x2)
- Community Health Worker (x2)
- Physical Therapist
- Medical Assistant
- MD or DO (multisite, shared with the LA clinic)
Tribal health director?
If your tribe is evaluating a clinic build or the 638 pathway, we can share what we are learning in real time.
Book a discovery callWant to work at the Northern California clinic?
Six positions open across four role types. Clinicians and staff who want to practice inside a tribal community and stay through the 638 transition.
See Northern California roles