Native American health center

What Native American health center does

Native American Health Center (NAHC) is a nonprofit Federally Qualified Health Center founded in 1972 in San Francisco's Mission District as the Urban Indian Health Board. It is one of the oldest and largest Urban Indian Health programs in the United States, delivering integrated primary care, dental, behavioral health, Women Infants & Children (WIC) nutrition services, school-based health centers, and a Community Wellness Department (youth, family, and elders programs) across 17 sites in three California counties—Alameda, San Francisco, and Contra Costa. NAHC serves approximately 15,000 members annually through a holistic, culturally responsive care model that addresses physical, emotional, spiritual, and social service needs, with no tribal or ethnic eligibility requirements and a sliding fee scale for uninsured patients.

The technology stack is built on the EPIC electronic health record system (implemented across dental services under incoming Chief Dental Officer Dr. Benjamin Lee) and the OCHIN MyChart patient portal for member access, scheduling, and provider communication. NAHC does not disclose proprietary AI or ML capabilities; clinical and operational technology relies on standard FQHC and EHR vendor infrastructure. Beyond clinical care, NAHC owns and operates affordable housing integrated with healthcare facilities—36 units at the Seven Directions facility (opened 2008 at 2950 International Boulevard in Oakland) and 76 planned units at the Flicker facility under development at 3050 International Boulevard, expected to open in early 2026.

Revenue is sourced from federal channels (HRSA as an FQHC and an Urban Indian Health Project relationship with the Indian Health Service), foundation grants (e.g., Conrad Prebys Foundation $500,000 in 2023), community donations, and affordable housing operations. The organization employs more than 300 staff across its sites and has built an internal leadership pipeline, recently elevating long-tenured clinicians into newly created executive roles (Chief Behavioral Health Officer in August 2023, Chief Medical Officer in 2024, and the first-ever Chief Dental Officer in July 2025) under CEO Natalie Aguilera, who succeeded 40-year CEO Martin Waukazoo in November 2023.

Name

Native American health center

Legal name

Native American Health Center

Website

https://nativehealth.org

Company type

Private

Founded year

1972

Operating status

Operating

Headcount range

101–250 employees

Short description

The Native American Health Center is a nonprofit Federally Qualified Health Center founded in 1972, operating 17 sites across three California Bay Area counties (Alameda, San Francisco, Contra Costa) and serving 15,000 members annually through integrated medical, dental, behavioral health, housing, and community wellness programs.

Ownership category

akta.pro rank

Product category

Community Health Center Services

NAICS

Ambulatory Health Care Services (621), Outpatient Mental Health and Substance Abuse Centers (621420), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industry

Affordable/Subsidized Independent Living (HUD/LIHTC) Communities (HLADAAAB)

Keywords

• Community health center
• Federally qualified health center
• Urban indian health
• Culturally responsive care
• Integrated clinical services

Headquarters

HQ city

Oakland

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Federally Qualified Health Center Revenue: As a FQHC, NAHC receives federal funding through the Health Resources and Services Administration (HRSA) and operates under an Urban Indian Health Project relationship with the Indian Health Service (IHS). Services are provided on a sliding fee scale based on ability to pay.
2. Donations and Grants: Nonprofit organization funded in part by community donations and grants such as the Conrad Prebys Foundation $500,000 grant for healthcare access initiatives.
3. Affordable Housing Operations: Revenue from affordable housing units (36 units at Seven Directions facility, 76 units planned at Flicker building) integrated with healthcare services.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

NAHC delivers integrated, culturally responsive primary medical care, dental, behavioral health, and community wellness services to American Indian/Alaska Native and underserved populations across 17 sites in the San Francisco Bay Area. As a Federally Qualified Health Center, services are provided on a sliding fee scale based on ability to pay regardless of tribal affiliation or ethnicity, supplemented by school-based clinics, home visiting programs, and affordable housing integrated with healthcare delivery.

Product overview

Native American Health Center (NAHC) operates as a single unified Federally Qualified Health Center offering integrated healthcare and community services. The organization provides Medical, Dental (Flicker Dental), and Behavioral Health as core clinical services, supplemented by Women Infants & Children (WIC) nutrition program, School Based Health Centers, and a Community Wellness Department (CWD) with specialized Youth Programs, Family Programs, and Elders Programs. NAHC also operates housing development projects (Seven Directions with 36 units, Flicker with 76 units) integrated with clinical facilities. The organization serves 15,000 members annually across 17 sites in three counties through a holistic, culturally-responsive care model.

Differentiator

Problem solved

Functional benefit

Brands

• Seven Directions Healthcare Facility: Five-story multi-use community medical and dental care clinic with affordable family housing, located at 2950 International Boulevard, Oakland.
• Seven Directions
• Flicker

Products and services

• Medical Services Primary care medical services providing comprehensive healthcare including preventive care, chronic disease management, and acute care visits for community members regardless of tribal affiliation.
• Dental / Flicker Dental Dental care services including general dentistry, pediatric dentistry, and oral health services; new Flicker facility will expand capacity to 20 new dental operatories in Oakland.
• Behavioral Health Mental health and substance use services including therapy, counseling, and psychiatric services for Native and underserved community members.
• Women, Infants & Children (WIC) Nutrition program providing food assistance, breastfeeding support, and nutritional education for pregnant women, new mothers, and children up to age 5.
• School Based Health Centers Health services located in schools providing accessible primary care for students and their families.
• Youth Programs Community Wellness Department programs including Youth G.O.N.A (Gathering of Native Americans), Sacred Bundle Behavioral Health Screening, Spring and Summer Programs, Youth Fellowship, Chae-Mal Wilderness Program, Peacekeepers, and New Indigenous Era youth programming for ages 16-26.
• Family Programs Strong Families Home Visiting, Food Security Project, and referral services to CalWORKS and TANF programs serving Alameda, Contra Costa, and San Francisco counties for pregnant and parenting families.
• Elders Programs Weekly wellness calls, bi-weekly food delivery, and community support services for elders to maintain health and social connections.
• Community Wellness Department (CWD) Wrap-around services including youth, family, and elders programs rooted in cultural and traditional practices, located at Cedar Center in Oakland and San Francisco.
• Seven Directions Healthcare Facility Five-story multi-use community medical and dental care clinic with 36 units of affordable family housing integrated on the top three floors, located at 2950 International Blvd, Oakland.

Quantifiable outcome

• Serves 15,000 members annually across 17 sites in 3 counties
• +2 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature1 record

Partnerships

Seven partnerships are on record, tiered core and strategic.

• Satellite Affordable Housing Associates (SAHA)coreStrategic or Co-development PartnerDevelopment partnership for Flicker building project at 3050 International Boulevard. SAHA and NAHC collaborated to develop 76 units of affordable housing (Flicker Bird Homes) alongside clinical and community facilities, with NAHC's Cultural Committee guiding California Native-focused vision for the development.
• Ohlone, Pomo, and other California Native Tribal MemberscoreStrategic or Co-development PartnerConsultation with indigenous tribal members to guide Flicker building design, name selection, public art, and cultural features. Tribal insight shaped architectural design inspired by flicker feather headdresses and imagery of pre-colonial California Native life.
• Indian Health Service (IHS)coreOthersNAHC operates as an Urban Indian Health Project through its relationship with IHS, receiving federal funding and operating under IHS guidelines for serving urban Native populations.
• California Consortium of Urban Indian Health (CCUIH)coreOthersNAHC serves as a member of CCUIH, with Executive Director Virginia Hedrick acknowledging NAHC's central role in elevating health status of American Indians in the Bay Area.
• National Council of Urban Indian Health (NCUIH)coreOthersNAHC CEO Natalie Aguilera serves as Board Member of NCUIH, providing leadership at the national level for urban Indian health issues.
• NYU Langone HealthstrategicStrategic or Co-development PartnerPartnership for NYU Advanced Education in General Dentistry residency program at NAHC, training incoming dental residents and supporting workforce development.
• OCHINcoreTechnology or IntegrationNAHC uses OCHIN's MyChart patient portal platform for electronic health records and patient communication.

Scale indicators7 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• LifeLong Medical Care: Bay Area FQHC with deep footprint across Alameda, Contra Costa, Marin, and other counties; comparable in scale and multi-service model, competes for shared low-income patients.
• La Clínica de La Raza: Large Bay Area FQHC network providing medical, dental, and behavioral health across Alameda, Contra Costa, and Solano counties; serves a similar low-income, uninsured patient mix but is not Native-specific.
• National Council of Urban Indian Health (member orgs): National advocacy and network body for Urban Indian Health programs; NAHC's CEO sits on its board, and member orgs collectively define the regulatory and funding framework within which NAHC operates.
• Alameda Health System: Public health system operating Highland Hospital and several community clinics across Alameda County; broader incumbent providing overlapping primary care services to underserved populations in NAHC's service area.
• Asian Health Services: Oakland-based FQHC serving limited-English-proficient Asian and Pacific Islander populations with medical, dental, and behavioral health; comparable in size, scale, and urban safety-net positioning in the East Bay.
• California Consortium of Urban Indian Health (CCUIH): Statewide consortium representing California's Urban Indian Health programs of which NAHC is a member; provides peer comparison set including Sacramento Native American Health Center and Bakersfield American Indian Health Project.

Direct peers

• Indian Health Center of Santa Clara Valley: San Jose-based FQHC serving urban Native American populations with medical, dental, and behavioral health; the closest geographic and mission-aligned peer to NAHC within California, operating a comparable Federally Qualified Health Center model.
• San Diego American Indian Health Center: Federally Qualified Health Center serving urban American Indian/Alaska Native populations in San Diego County; shares the FQHC/Urban Indian Health Project model, sliding-fee scale, and culturally responsive care approach with NAHC. The Conrad Prebys Foundation listed NAHC directly in the 2023 grant.
• Seattle Indian Health Board (Seattle Urban Indian Health Center): One of the oldest and largest Urban Indian Health programs in the U.S.; provides medical, dental, behavioral health, and community wellness services to AI/AN populations, paralleling NAHC's holistic model.

Emerging players

• Friendship House Association of American Indians: San Francisco Bay Area Native-led organization where former NAHC CEO Martin Waukazoo now serves as Executive Director; provides social services and culturally rooted programming targeting the same community.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/7gen1d
• Facebookfacebook.com/7Gen1D
• LinkedInlinkedin.com/company/native-american-health-center
• Instagraminstagram.com/7gen1d

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds3 records

Investors3 records

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M&A

Investments

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Frequently asked questions about Native American health center