Sutter Health Sacramento Sierra Region

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000083 Issued in CA

Legal business name

SUTTER HEALTH SACRAMENTO SIERRA REGION

Doing business as

Sutter Roseville Medical Center (STARS Unit)

Practice address

1 Medical Plaza Dr
Roseville, CA 95661-3037

Phone

(800) 353-3369

NPI assigned

May 8, 2007

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SUTTER HEALTH SACRAMENTO SIERRA REGIONAs reported in NPPES

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

Authorized official

Name

Mary Ackley

Title

Director

Phone

(800) 353-3369

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sutter Roseville Medical Center (STARS Unit) Doing business as

Part of

Sutter Community Hospit

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1174736839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160100",
            "telephone_number": "800-353-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "800-353-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER HEALTH SACRAMENTO SIERRA REGION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER HEALTH SACRAMENTO SIERRA REGION",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "ACKLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-353-3369"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70064F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Roseville Medical Center (STARS Unit)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Roseville Medical Center (STARS Unit)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katy Patrice Surritt
• Kiran Suryadevara, MD, MPH
• Hassanan Suththeepraphasawasdee
• Haley Susie Sutono
• Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center Pharmacy)
• Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center)
• Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center Infusion Pharmacy)
• Sutter Lead Hill Surgery Center, LLC
• Sutter Roseville Medical Center
• Sutter Valley Hospitals (Sutter Rehabilitation Institute at Sutter Roseville Medical Center)

• Skilled Nursing Facility in Roseville, CA
• Providers in Roseville, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.