SUTTER ROSEVILLE MEDICAL CENTER (STARS UNIT)
NPI 1174736839
Skilled Nursing Facility in Roseville, CA

Active since May 08, 2007CLIA 05D0683935 · Accreditation
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(800) 353-3369 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sutter Roseville Medical Center (stars Unit) NPPES

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

SUTTER ROSEVILLE MEDICAL CENTER (STARS UNIT) (NPI 1174736839) is a healthcare organization registered as a skilled nursing facility in Roseville, California and active in the NPI registry since May 2007. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Mary Ackley, Director, as its authorized official.

NPPES Registry Identity

NPI1174736839
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUTTER HEALTH SACRAMENTO SIERRA REGION
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing AddressPo Box 160100Sacramento, CA 95816-0100 · (800) 353-3369
Organization SubpartYes
Authorized OfficialMary AckleyDirector · (800) 353-3369
Enumeration DateMay 8, 2007
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1174736839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 030000083
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1 MEDICAL PLAZA DR, Roseville, CA 95661

Other Names 1

Doing Business AsSutter Roseville Medical Center (stars Unit)

Other Identifiers 1

MedicaidLTC70064FCA

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 05D0683935

Sutter Health Sacramento Sierra Region · Roseville, CA
Active · expires Feb 27, 2027
CLIA Number05D0683935
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Ronald D. Rowberry
Laboratory Phone(916) 781-4082
Laboratory LocationSutter Health Sacramento Sierra RegionOne Medical Plaza, Roseville, CA 95661
CLIA data matches this NPI record on: 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.

Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661

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 Health Sacramento Sierra Region's NPI number?

The NPI number for Sutter Health Sacramento Sierra Region is 1174736839. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Sutter Roseville Medical Center (stars Unit).

Where is Sutter Health Sacramento Sierra Region located?

Sutter Health Sacramento Sierra Region is located at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (800) 353-3369.

What is Sutter Health Sacramento Sierra Region's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sutter Health Sacramento Sierra Region hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0683935) is associated with this NPI, valid through February 27, 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 Health Sacramento Sierra Region was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.