Active NPI
Aibar Herberto Huatuco, M.D.
- Nephrology Physician
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A32630
- Practice address
- 1530 Bessie Ave
Suite 102
Tracy, CA 95376-3080 - Phone
- (209) 836-1627
- Fax
- (209) 836-5478
- NPI assigned
- Aug 26, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A32630 | CA | Primary |
Addresses
Primary practice location
1530 Bessie Ave
Suite 102
Tracy, CA 95376-3080
Mailing address
1530 Bessie Ave
Suite 102
Tracy, CA 95376-3080
Phone (209) 836-1627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A326300 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1530 N Bessie Ave
Suite 102
Tracy, CA 95376-3080
Phone (209) 836-1627
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 89.32
- Improvement activities
- 40
- Cost
- 70.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & I Huatuco, Inc. | Nephrology | Current | Accepting new patients |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Dameron Hospital Association | Past | Accepting new patients |
Locations
1530 Bessie Ave
Ste 102
Tracy, CA 95376
Phone (209) 836-1627
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ahuatuco32706@hisp.ehr.sutterhealth.org
- aibar.huatuco@ani.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/GGDDAA/Endpoint/GGDDAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Satellite Healthcare Tracy
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tracy, CA
- NPI 1457510919
Dialysis facility
-
dba Yosemite Street Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Manteca, CA
- NPI 1073798674
Dialysis facility
-
dba Sutter Tracy Community Hospital
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245223932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 BESSIE AVE",
"address_2": "SUITE 102",
"city": "TRACY",
"state": "CA",
"postal_code": "953763080",
"telephone_number": "209-836-1627",
"fax_number": "209-836-5478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 BESSIE AVE",
"address_2": "SUITE 102",
"city": "TRACY",
"state": "CA",
"postal_code": "953763080",
"telephone_number": "209-836-1627",
"fax_number": "209-836-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUATUCO",
"first_name": "AIBAR",
"middle_name": "HERBERTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A32630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A326300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.