NPIMap

Organization Active NPI

Sutter Delta Medical Center

  • General Acute Care Hospital
  • Antioch, CA
National Provider Identifier
1124135132
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUTTER DELTA MEDICAL CENTER
Practice address
3901 Lone Tree Way
Antioch, CA 94509-6200
Phone
(925) 779-7200
Fax
(925) 779-7258
NPI assigned
Aug 24, 2006
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian Trent Hunter
Title
VP Shared Services
Phone
(916) 297-8555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X CA Primary

Addresses

Primary practice location

3901 Lone Tree Way
Antioch, CA 94509-6200

Mailing address

PO Box 742110
Los Angeles, CA 90074-2110
Phone (855) 398-1633

Other identifiers 2

IdentifierTypeStateIssuer
ZZR00523FOtherMEDI CAL
HSP40523FMedicaidCA

Other names 1

  • Delta Memorial Hospital Former legal business name

National Provider Directory

National Provider Directory

Locations

3200 Lone Tree Way
Ste 101
Antioch, CA 94509
Phone (925) 777-3360

4053 Lone Tree Way
#100
Antioch, CA 94531
Phone (925) 756-3400

100 Cortona Way
Ste 140
Brentwood, CA 94513
Phone (925) 516-4488

350 John Muir Pkwy
Ste 175
Brentwood, CA 94513
Phone (925) 685-7400

19845 Lake Chabot Rd
Ste 205
Castro Valley, CA 94546
Phone (510) 538-9558

1620 Pennsylvania Ave
Fairfield, CA 94533
Phone (707) 425-1038

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

1133 E Stanley Blvd
Ste 201
Livermore, CA 94550
Phone (925) 443-1311

32938 Road 222
#2
North Fork, CA 93643
Phone (559) 299-4264

350 30th St
Ste 320
Oakland, CA 94609
Phone (510) 465-6700

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

1020 29th St
Ste 550
Sacramento, CA 95816
Phone (916) 733-8766

112 La Casa Via
Ste 110
Walnut Creek, CA 94598
Phone (925) 935-2855

1450 Treat Blvd
Ste 140
Walnut Creek, CA 94597
Phone (925) 296-9770

Practitioners & affiliated clinicians

Practitioners 263

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 263

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1124135132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742110",
            "telephone_number": "855-398-1633",
            "fax_number": "925-779-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096200",
            "telephone_number": "925-779-7200",
            "fax_number": "925-779-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER DELTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "VP SHARED SERVICES",
        "authorized_official_telephone_number": "916-297-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "ZZR00523F",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40523F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.