Search › California › 363AM0700X
Tracy Hazelton, PA-C
NPI 1821024746 · on the registry since 2006
Practice
- Address
- 14440 Olympic Drive
Clearlake, CA 95422 - Phone
- (707) 263-8383
- Fax
- (707) 263-5019
- Organisation at this address
- Southshore Tribal Health Pharmacy
Lake County Tribal Health Southshore ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 925 Bevins Court, Lakeport, CA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California