Tracy Hazelton, PA-C

Individual Active
NPI 1821024746
Medical Physician Assistant Clearlake, CA

NPI 1821024746 belongs to Tracy Hazelton, PA-C, a medical physician assistant with a practice location in Clearlake, CA. The NPI was issued on June 23, 2006, and the record was last updated in NPPES on August 1, 2025. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA13690 (CA)

Practice locations

14440 Olympic Drive
Clearlake, CA 95422-8809
Phone: (707) 263-8383
925 Bevins Court
Lakeport, CA 95453-9754
Phone: (707) 263-8383

Local context

Active NPPES records list 14 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 3,494 in California and 40,076 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Tracy M Hazelton
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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