SUTTER HEALTH SACRAMENTO SIERRA REGION (NPI# 1174736839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174736839 |
| Entity Type | Organization |
| Organization Name | SUTTER HEALTH SACRAMENTO SIERRA REGION |
| Other Organization Name | SUTTER ROSEVILLE MEDICAL CENTER (STARS UNIT) |
| Practice Address |
1 Medical Plaza Dr Roseville CA 95661-3037 |
| Mailing Address |
Po Box 160100 Sacramento CA 95816-0100 |
| Practice Telephone | 8003533369 |
| Mailing Telephone | 8003533369 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MARY ACKLEY (DIRECTOR) |
| Authorized Official Telephone | 8003533369 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER HEALTH SACRAMENTO SIERRA REGION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 030000083 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC70064F | 05 |
| Other Name | Type Code |
|---|---|
| Sutter Roseville Medical Center (STARS Unit) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| 1760432447 | Sutter Health Sacramento Sierra Region | Skilled Nursing Facility | 2600 L St, Sacramento, CA 95816-5612 | 2006-05-11 |
| 1922456490 | Sutter Health Sacramento Sierra Region | Pharmacy | 8 Medical Plaza Dr., Suite 230, Roseville, CA 95661 | 2016-05-25 |
| 1699135277 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 300 Hospital Dr, Vallejo, CA 94589-2574 | 2016-02-25 |
| 1619111416 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 9279 Locust, Plymouth, CA 95669 | 2009-04-23 |
| 1164649059 | Sutter Health Sacramento Sierra Region | Pharmacy | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2007-04-20 |
| 1295893121 | Sutter Health Sacramento Sierra Region | Pharmacy | 2800 L St, Suite 450, Sacramento, CA 95816-5616 | 2006-12-04 |
| 1962575316 | Sutter Health Sacramento Sierra Region | Clinic/Center | 855 Howe Ave, Suite 1, Sacramento, CA 95825-3912 | 2006-11-15 |
| 1609812213 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 2000 Sutter Pl, Davis, CA 95616-6201 | 2006-06-21 |
| 1790720993 | Sutter Health Sacramento Sierra Region | Clinical Medical Laboratory | 11815 Education St, Auburn, CA 95602-2410 | 2006-06-19 |
| Street Address |
1 MEDICAL PLAZA DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
| 1942814744 | Steven Michael Decristofaro | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1083228886 | Dawn K Krakover | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1659900579 | Lacy Danielle Couchot | Nurse's Aide | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-04-02 |
| 1326670571 | Veronica Marie Kennedy | Marriage & Family Therapist | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-02-05 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1649813015 | Jennifer Eloise Amaro | Social Worker | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-10-17 |
| 1851959720 | Kyi Zin M.d.,inc. | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-06-04 |
| 1730613951 | Benjamin Palmer | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2017-04-13 |
| 1467812800 | Mitchell Morta | Nurse Practitioner | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2016-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417354200 | Rhema-roseville Operating LLC | Skilled Nursing Facility | 25375 Kelly Rd, Roseville, MI 48066-4960 | 2014-11-24 |
| 1710026869 | Rv Facility Inc | Skilled Nursing Facility | 600 Sunrise Ave, Roseville, CA 95661-4110 | 2007-02-05 |
| 1881768323 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1000 Lovell Ave W, Roseville, MN 55113-4419 | 2006-11-17 |
| 1518068907 | S.c.a.r.c. Inc | Skilled Nursing Facility | 310 Oak Ridge Dr, Roseville, CA 95661-3420 | 2006-09-26 |
| 1225079684 | 527 Capital Group | Skilled Nursing Facility | 145 S Chamberlain St, Roseville, IL 61473-9581 | 2006-06-09 |
| 1922088780 | Henry Ford Continuing Care Corp | Skilled Nursing Facility | 25375 Kelly Road, Roseville, MI 48066-4960 | 2006-01-18 |
| 1548269863 | Sierra Hills Care Center, Inc. | Skilled Nursing Facility | 1139 Cirby Way, Roseville, CA 95661-4421 | 2005-07-19 |
| 1154320463 | Roseville Care Center, Inc. | Skilled Nursing Facility | 1161 Cirby Way, Roseville, CA 95661-4421 | 2005-07-19 |
| 1568460293 | Presbyterian Homes of Roseville | Skilled Nursing Facility | 1910 County Road D W, Roseville, MN 55112-3503 | 2005-07-07 |
| 1578025482 | Rosebay, LLC | Skilled Nursing Facility | 310 Oak Ridge Dr, Roseville, CA 95661-3420 | 2019-04-01 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.