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SUTTER LAKESIDE HOSPITAL
NPI 1629089875
Medicare Defined Swing Bed Unit in Lakeport, CA

Active since August 11, 2006
5176 HILL RD E, LAKEPORT, CA 95453(707) 262-5000(707) 262-5018 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sutter Lakeside Hospital NPPES

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

SUTTER LAKESIDE HOSPITAL (NPI 1629089875) is a healthcare organization registered as a medicare defined swing bed unit in Lakeport, California and active in the NPI registry since August 2006. The organization lists Kelly Mather, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629089875
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSUTTER LAKESIDE HOSPITAL
Location Address5176 HILL RD ELakeport, CA 95453-6300
Mailing Address5176 Hill Rd ELakeport, CA 95453-6300 · (707) 262-5000 · Fax (707) 262-5018
Phone(707) 262-5000
Fax(707) 262-5018
Organization SubpartYes
Authorized OfficialKelly MatherCeo · (707) 262-5001
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1629089875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
5176 HILL RD E, Lakeport, CA 95453
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Other Identifiers 2

Medicare OSCAR/certification05Z329CA
Medicare ID-Type Unspecified05U476CA · Snf/swing

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.

DR. MYRON P. SCHNEIDER MD
Radiology (Diagnostic Radiology)
5176 HILL RD E, DEPT OF IMAGING
LAKEPORT, CA 95453
Lake County (707) 262-5035
KIMBERLEY CURTIS ACUPUNCTURIST
Acupuncturist
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (415) 264-0685
GERARD NGUYEN PHARMD
Pharmacist
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (415) 497-8893
SUTTER LAKESIDE HOSPITAL
Clinic/Center (Rural Health)
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 262-5001
SUTTER LAKESIDE HOSPITAL
General Acute Care Hospital (Rural)
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 262-5181
HELEN V & FRED JOHNSON
Anesthesiology
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 262-5000
SUTTER LAKESIDE HOSPITAL
Clinic/Center (Rural Health)
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 262-5000
KATHLEEN E DUCHENE RD
Dietitian, Registered
5176 HILL RD E
LAKEPORT, CA 95453
Lake County (707) 262-5007

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 Lakeside Hospital's NPI number?

The NPI number for Sutter Lakeside Hospital is 1629089875. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Sutter Lakeside Hospital located?

Sutter Lakeside Hospital is located at 5176 Hill Rd E, Lakeport, CA 95453. The listed phone number is (707) 262-5000.

What is Sutter Lakeside Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

When was this NPI record last updated?

The NPPES record for Sutter Lakeside Hospital was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.