Provider Demographics
NPI:1609886043
Name:HOSPITALISTS OF NORTHERN CALIFORNIA, INC
Entity type:Organization
Organization Name:HOSPITALISTS OF NORTHERN CALIFORNIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUTTON
Authorized Official - Middle Name:N
Authorized Official - Last Name:MENEZES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-510-6038
Mailing Address - Street 1:PO BOX 496084
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-6084
Mailing Address - Country:US
Mailing Address - Phone:530-242-5745
Mailing Address - Fax:
Practice Address - Street 1:2175 ROSALINE AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2509
Practice Address - Country:US
Practice Address - Phone:530-242-5745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG64507Medicare UPIN
CA00G866921Medicare PIN
CAI11347Medicare UPIN
CAA38222Medicare UPIN
CAH32827Medicare UPIN
CAG59547Medicare UPIN
CA0A1008400Medicare PIN
CA00A546731Medicare PIN
CAA46439Medicare UPIN
CA00G874431Medicare PIN
CAF18109Medicare UPIN
CAE41526Medicare UPIN
CAZZZ02735ZMedicare PIN
CA0A1005980Medicare PIN
CA00C526620Medicare PIN