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SUTTER TRACY COMMUNITY HOSPITAL
NPI 1043291164
General Acute Care Hospital in Tracy, CA

Active since November 07, 2005CLIA 05D0862376 · Accreditation
1420 N TRACY BLVD, TRACY, CA 95376(209) 835-1500 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sutter Tracy Community Hospital NPPES

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

SUTTER TRACY COMMUNITY HOSPITAL (NPI 1043291164) is a healthcare organization registered as a general acute care hospital in Tracy, California and active in the NPI registry since November 2005. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists Brian Trent Hunter, Vp Shared Services, as its authorized official.

NPPES Registry Identity

NPI1043291164
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSUTTER TRACY COMMUNITY HOSPITAL
Location Address1420 N TRACY BLVDTracy, CA 95376-3451
Mailing AddressPo Box 1870Modesto, CA 95353-1870 · (209) 569-7734 · Fax (209) 572-7772
Phone(209) 835-1500
Organization SubpartNo
Authorized OfficialBrian Trent HunterVp Shared Services · (916) 297-8555
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 2, 2013
✔ NPI 1043291164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Licenses✔ Licensed in CA · 0300000105✔ Licensed in CA · 030000105
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1420 N TRACY BLVD, Tracy, CA 95376
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Other Identifiers 4

MedicaidZZR00313FCA
MedicaidHSC00313FCA
MedicaidHSP40313FCA
Medicare OSCAR/certification050313CA

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 05D0862376

Sutter Tracy Community Hospital · Tracy, CA
Active · expires Aug 16, 2027
CLIA Number05D0862376
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorShijun Cui, MD
Laboratory Phone(209) 832-6036
Laboratory LocationSutter Tracy Community Hospital1420 N Tracy Blvd, Tracy, CA 95376
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AISHA MALIK M.S., CCC-SLP
Speech-Language Pathologist
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 835-1500
VICTOR SEGURA-PEREZ FNP
Nurse Practitioner (Family)
1420 N TRACY BLVD, S3CVO
TRACY, CA 95376
San Joaquin County (855) 398-1644
YOSEMITE PATHOLOGY MEDICAL GROUP, IN
Clinical Medical Laboratory
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 577-1200
RACHEL MASTON
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 835-1500
MR. JASON A PILKERTON NPC, MSN
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 832-6018
JANICE MARIE CRAWFORD MD
Emergency Medicine
1420 N TRACY BLVD, EMERGENCY DEPT
TRACY, CA 95376
San Joaquin County (209) 342-2300
MR. STELIOS KATZAKIS PA-C
Physician Assistant
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 832-6018
PAUL ROGER ANDERSON PA
Emergency Medicine
1420 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (209) 342-2300

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 Sutter Tracy Community Hospital's NPI number?

The NPI number for Sutter Tracy Community Hospital is 1043291164. It was assigned to this organization in the NPPES registry on November 7, 2005.

Where is Sutter Tracy Community Hospital located?

Sutter Tracy Community Hospital is located at 1420 N Tracy Blvd, Tracy, CA 95376. The listed phone number is (209) 835-1500.

What is Sutter Tracy Community Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Sutter Tracy Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0862376) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sutter Tracy Community Hospital was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.