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HAZEL HAWKINS HEALTH CLINIC
NPI 1891811907
Clinic/Center - Rural Health in San Juan Bautista, CA

Active since March 21, 2007CLIA 05D1025239 · Microscopy
301 THE ALAMEDA, SUITE B3, SAN JUAN BAUTISTA, CA 95045(831) 623-4615(831) 623-4689 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazel Hawkins Health Clinic NPPES

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

HAZEL HAWKINS HEALTH CLINIC (NPI 1891811907) is a healthcare organization registered as a rural health in San Juan Bautista, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through May 2, 2028 and lists Mary Casillas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891811907
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHAZEL HAWKINS MEMORIAL HOSPITAL
Location Address301 THE ALAMEDA, SUITE B3San Juan Bautista, CA 95045-9746
Mailing Address911 Sunset DrHollister, CA 95023-5602 · (831) 637-5711 · Fax (831) 637-3126
Phone(831) 623-4615
Fax(831) 623-4689
Organization SubpartNo
Authorized OfficialMary CasillasCeo · (831) 636-2604
Enumeration DateMarch 21, 2007
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1891811907 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 · 070000004
301 THE ALAMEDA, San Juan Bautista, CA 95045
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Other Names 1

Doing Business AsHazel Hawkins Health Clinic

Other Identifiers 1

MedicaidRHM08590FCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1025239

Hazel Hawkins Health Clinic · San Juan Bautista, CA
Active · expires May 2, 2028
CLIA Number05D1025239
Laboratory TypeHospital Based Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorArminda Tolentino MD
Laboratory Phone(831) 623-4615
Laboratory LocationHazel Hawkins Health Clinic301 The Alameda, Ste B-3, San Juan Bautista, CA 95045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1891811907. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Hazel Hawkins Health Clinic.

Where is Hazel Hawkins Memorial Hospital located?

Hazel Hawkins Memorial Hospital is located at 301 The Alameda Suite B3, San Juan Bautista, CA 95045. The listed phone number is (831) 623-4615.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1025239) is associated with this NPI, valid through May 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hazel Hawkins Memorial Hospital was last updated on January 11, 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.