SUTTER LAKESIDE COMMUNITY HEALTH CENTER
NPI 1629301775
Clinic/Center - Rural Health in Upper Lake, CA

Q: What is Sutter West Bay Hospitals's NPI number?

The NPI number for Sutter West Bay Hospitals is 1629301775. It was assigned to this organization in the NPPES registry on September 8, 2009. The provider is doing business as Sutter Lakeside Community Health Center.

Q: What is Sutter West Bay Hospitals's specialty?

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

Active since September 08, 2009

750 OLD LUCERNE ROAD, UPPER LAKE, CA 95485(707) 275-9066(707) 275-9070 Get Directions Write a Review

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

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About Sutter Lakeside Community Health Center NPPES

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

SUTTER LAKESIDE COMMUNITY HEALTH CENTER (NPI 1629301775) is a healthcare organization registered as a rural health in Upper Lake, California and active in the NPI registry since September 2009. The organization lists Brian Trent Hunter, Vp Shared Services, as its authorized official.

NPPES Registry Identity

NPI1629301775

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSUTTER WEST BAY HOSPITALS

Location Address750 OLD LUCERNE ROADUpper Lake, CA 95485-0000

Mailing AddressPo Box 742412Los Angeles, CA 90074-2412 · (415) 600-7120

Phone(707) 275-9066

Fax(707) 275-9070

Organization SubpartNo

Authorized OfficialBrian Trent HunterVp Shared Services · (916) 297-8555

Enumeration DateSeptember 8, 2009

Last NPPES UpdateJanuary 20, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1629301775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in CA · 110000094

750 OLD LUCERNE ROAD, Upper Lake, CA 95485

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Other Names 1

Doing Business AsSutter Lakeside Community Health Center

Other Identifiers 1

MedicaidRKY18547FCA

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 West Bay Hospitals's NPI number?

The NPI number for Sutter West Bay Hospitals is 1629301775. It was assigned to this organization in the NPPES registry on September 8, 2009. The provider is doing business as Sutter Lakeside Community Health Center.

Where is Sutter West Bay Hospitals located?

Sutter West Bay Hospitals is located at 750 Old Lucerne Road, Upper Lake, CA 95485. The listed phone number is (707) 275-9066.

What is Sutter West Bay Hospitals's specialty?

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

When was this NPI record last updated?

The NPPES record for Sutter West Bay Hospitals 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.