Individual provider Active NPI

Aibar Herberto Huatuco, M.D.

  • Nephrology Physician
  • Tracy, CA
National Provider Identifier
1245223932
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A32630 Issued in CA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A326300MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000530 CA Practitioner - NephrologyPractitioner - Internal Medicine 4587577739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
A & I Huatuco, Inc. Nephrology CurrentSince Jun 1, 2004 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

  • Direct secure messaging: ahuatuco32706@hisp.ehr.sutterhealth.org
  • Direct secure messaging: aibar.huatuco@ani.eclinicaldirectplus.com
  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.