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Sutter Lakeside Hospital

Rural Acute Care Hospital in Lakeport, CA · enumerated 2005 · authorized official Kelly Mather, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063407229

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Registry record

Entity type Organization (Type 2)
Legal business name Sutter Lakeside Hospital
Practice address 5176 Hill Rd E, Lakeport, CA, 95453
Fax (707) 262-5006
Enumeration date Sep 14, 2005
Last updated in NPPES Jul 31, 2008

Taxonomy & classification

282NR1301X Rural Acute Care Hospital Hospitals · License 010000118 (CA) Primary

Authorized official

Name Kelly Mather
Title Ceo

Other identifiers

Identifier Type State Issuer
HSP13994F Other - HAP
ZZZC1701Z Other - BLUE SHIELD
HSP40476F Medicaid CA -
050476 Other CA MEDICARE PROVIDER NUMBER
CGP127375 Other CA CHILDREN SERVICES
050476 Other - BLUE CROSS
C083612 Other - CHAMPVA
ZZR00476F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Sutter Lakeside Hospital?
Sutter Lakeside Hospital is registered in NPPES as a Rural Acute Care Hospital (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-31.