Sutter Health Sacramento Sierra Region

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

030000102 Issued in CA

Legal business name

SUTTER HEALTH SACRAMENTO SIERRA REGION

Doing business as

Sutter Dialysis South

Practice address

7200 S Land Park Dr
Sacramento, CA 95831-3612

Phone

(800) 353-3369

NPI assigned

May 11, 2006

Last updated

Jan 7, 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

Margie Souza

Title

Cbo Director

Phone

(916) 978-8701

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sutter Dialysis South Doing business as

Part of

Sutter Community Hospit

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1619927449",
    "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": "7200 S LAND PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313612",
            "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": "2006-05-11",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "CBO DIRECTOR",
        "authorized_official_telephone_number": "916-978-8701"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "030000102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40108F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02383F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Dialysis South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Dialysis South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sutter Emergency Medical Associates
• Sutter Emergency Medical Associates
• Sutter Express Care Medical Clinic, Inc.
• Sutter Health Sacramento Sierra Region (Sutter Midtown Pharmacy)
• Sutter Health Sacramento Sierra Region
• Sutter Health Sacramento Sierra Region (Sutter Oaks Midtown (SOMT))
• Sutter Health Sacramento Sierra Region
• Sutter Medical Center Sacramento (Sutter Memorial)
• Sutter Medical Foundation
• Sutter Surgery Center LP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.