HAZEL HAWKINS PRIMARY CARE & SURGICAL SPECIALTY CENTER
NPI 1013628353
Clinic/Center - Rural Health in Hollister, CA

Active since December 07, 2022CLIA Certified · 2 labs
930 SUNSET DR BUILDING 1 STE C, HOLLISTER, CA 95023(831) 630-1019(831) 630-0691 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Oct 20, 2023, Feb 2, 2023 and 5 more (8 updates tracked since 2022).

About Hazel Hawkins Primary Care & Surgical Specialty Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZEL HAWKINS PRIMARY CARE & SURGICAL SPECIALTY CENTER (NPI 1013628353) is a healthcare organization registered as a rural health in Hollister, California and active in the NPI registry since December 2022. The organization holds 2 active CLIA laboratory certificates and lists Mary Casillas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013628353
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHAZEL HAWKINS MEMORIAL HOSPITAL
Location Address930 SUNSET DR BUILDING 1 STE CHollister, CA 95023-5620
Mailing Address911 Sunset DrHollister, CA 95023-5606 · (831) 636-2626
Fax(831) 630-0691
Organization SubpartNo
Authorized OfficialMary CasillasCeo · (831) 635-1455
Enumeration DateDecember 7, 2022
Last NPPES UpdateFebruary 12, 20248 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1013628353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
930 SUNSET DR BUILDING 1 STE C, Hollister, CA 95023

Other Names 1

Doing Business AsHazel Hawkins Primary Care & Surgical Specialty Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2284459

Hazel Hawkins Primary Care & Surgical Specialty Ce · Hollister, CA
Active · expires Jun 21, 2027
CLIA Number05D2284459
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorArminda Tolentino
Laboratory Phone(831) 636-2601
Laboratory LocationHazel Hawkins Primary Care & Surgical Specialty Ce930 Sunset Dr Bldg 1 Ste C, Hollister, CA 95023
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1090833

Hazel Hawkins Memorial Hospital Stat · Hollister, CA
Active · expires Oct 3, 2027
CLIA Number05D1090833
Laboratory TypeDraw Station
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorMichael C. Mcginnis
Laboratory Phone(831) 636-1436
Laboratory LocationHazel Hawkins Memorial Hospital Stat591 Mccray St, Hollister, CA 95023
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazel Hawkins Memorial Hospital's NPI number?

The NPI number for Hazel Hawkins Memorial Hospital is 1013628353. It was assigned to this organization in the NPPES registry on December 7, 2022. The provider is doing business as Hazel Hawkins Primary Care & Surgical Specialty Center.

Where is Hazel Hawkins Memorial Hospital located?

Hazel Hawkins Memorial Hospital is located at 930 Sunset Dr Building 1 Ste C, Hollister, CA 95023. The listed phone number is (831) 630-1019.

What is Hazel Hawkins Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Hazel Hawkins Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hazel Hawkins Memorial Hospital was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.