NPIMap

Organization Active NPI

Sutter Health Sacramento Sierra Region

Doing business as Sutter Auburn Faith Hospital

  • Clinical Medical Laboratory
  • Auburn, CA
National Provider Identifier
1790720993
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0644110 Issued in CA
Legal business name
SUTTER HEALTH SACRAMENTO SIERRA REGION
Doing business as
Sutter Auburn Faith Hospital
Practice address
11815 Education St
Auburn, CA 95602-2410
Phone
(530) 888-4557
Fax
(530) 888-6611
NPI assigned
Jun 19, 2006
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
James Conforti
Title
President
Phone
(916) 887-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0644110 CA Primary

Addresses

Primary practice location

11815 Education St
Auburn, CA 95602-2410

Mailing address

PO Box 619092
Roseville, CA 95661-9092
Phone (915) 297-8079

Other names 1

  • Sutter Auburn Faith Hospital Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0644110Sutter Auburn Faith Hospital11815 Education St, Auburn, CA 95602AccreditationFeb 27, 2027
05D0698614Sutter Auburn Faith Hospital11815 Education St, Auburn, CA 95602AccreditationApr 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sutter Mem Hosp Eeg Dep27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1790720993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619092",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619092",
            "telephone_number": "915-297-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 EDUCATION ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022410",
            "telephone_number": "530-888-4557",
            "fax_number": "530-888-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER HEALTH SACRAMENTO SIERRA REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-887-7040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0644110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Auburn Faith Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Auburn Faith Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • 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.
  • 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.

Verify at the official NPI Registry.