Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY M HAZELTON, PA-C
ActiveTRACY M HAZELTON, PA-C is a Medical Physician Assistant healthcare provider located in CLEARLAKE, California. NPI 1821024746 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CLEARLAKE, CA
Registration Details
- NPI Number
- 1821024746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (20.16758147713 yrs)
- Last Updated
- Aug 1, 2025
- License
-
PA13690 (CA)
Practice Information
- Address
-
14440 OLYMPIC DRIVECLEARLAKE, CA, 954228809Browse CA providers · Browse ZIP 95422
- Phone
- 7072638383
- Fax
- 7072635019
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CLEARLAKE, CA
| Name | Credential | NPI |
|---|---|---|
| SAVANNAH SAEPHAN | — | 1447002456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.