Tracy M Hazelton, PA-C
Tracy M Hazelton, PA-C is a Physician Assistant in Clearlake, California. Graduated from Stanford University School of Medicine in 1996, 30 years ago. Practices with Lake County Tribal Health Consortium Inc, a 42-clinician group and works from 2 locations. Licensed in California.
- Years since qualifying
- 30
- Trained at
- Stanford University School of Medicine
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
14440 Olympic DrClearlake, CA 95422-8809
Phone: (707) 263-8383
Fax: (707) 263-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 925 Bevins Court, Lakeport, CA 95453-9754 — (707) 263-8383
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA13690 (CA) |
|---|
Record details
| NPI number | 1821024746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 23, 2006 |
| Last updated in NPPES | August 1, 2025 |
| Certification date | August 1, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Group practice | Lake County Tribal Health Consortium Inc — 42 clinicians |
| Accepts Medicare assignment | Not indicated |
Other providers in Clearlake
-
Savannah Saephan
7000B S Center Dr, Clearlake, CA 95422-8131 · (707) 994-7090