SUTTER BAY MEDICAL FOUNDATION (NPI# 1003267196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003267196 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER PACIFIC MEDICAL FOUNDATION |
| Practice Address |
1315 Alhambra Blvd Ste 210 Sacramento CA 95816-5246 |
| Mailing Address |
2350 W El Camino Real 3rd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 9167324380 |
| Practice Fax Number | 9167390893 |
| Mailing Telephone | 6506965270 |
| Mailing Fax Number | 6506965279 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | JOHN B. GATES (CFO) |
| Authorized Official Telephone | 5104507357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sutter Pacific Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861843955 | Sutter Bay Medical Foundation | Internal Medicine | 3880 S Bascom Ave Ste 113, San Jose, CA 95124-2600 | 2016-06-29 |
| 1679924765 | Sutter Bay Medical Foundation | Internal Medicine | 3006 S Maryland Pkwy Ste 470, Las Vegas, NV 89109-2235 | 2016-06-29 |
| 1760833834 | Sutter Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave Ste 210, San Rafael, CA 94903-3432 | 2016-06-29 |
| 1306241534 | Sutter Bay Medical Foundation | Clinic/Center | 3120 Kearney St, Fremont, CA 94538-2292 | 2014-10-30 |
| 1497996524 | Sutter Bay Medical Foundation | Clinic/Center | 3140 Kearney St, Fremont, CA 94538-2292 | 2009-03-19 |
| 1104370253 | Sutter Bay Medical Foundation | Internal Medicine | 3000 Colby St Ste 205, Berkeley, CA 94705-2058 | 2016-08-06 |
| 1841744992 | Sutter Bay Medical Foundation | Internal Medicine | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2016-08-06 |
| 1528512688 | Sutter Bay Medical Foundation | Emergency Medicine | 3883 Airway Dr, Suite 120, Santa Rosa, CA 95403-1670 | 2016-08-06 |
| 1902350168 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 3801 Sacramento St, San Francisco, CA 94118-1625 | 2016-08-05 |
| 1093269235 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Dr, Suite 202, Santa Rosa, CA 95403-1670 | 2016-08-04 |
| Street Address |
1315 ALHAMBRA BLVD STE 210 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376630814 | Constance Ruth Wylie | Nurse Practitioner | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2006-10-06 |
| 1548480015 | Daniel Leo Hoody | Nurse Practitioner | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2007-04-26 |
| 1134259054 | Richard Boggs | Physician Assistant | 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093184244 | Bethel Averbeck Md A Professional Medical Corporation | Clinic/Center | 400 Capitol Mall, 22nd Floor, Sacramento, CA 95814-4407 | 2015-09-17 |
| 1801438015 | Rasnow Integrative Wellness Inc | Clinic/Center | 1102 Corporate Way, St 170, Sacramento, CA 95831 | 2019-10-09 |
| 1932691797 | Vascular Institute of Northern California A Podiatry Corporation | Clinic/Center | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2018-06-06 |
| 1013355585 | Health and Life Organization, Inc. | Clinic/Center | 7551 Timberlake Way, Suite# 240, Sacramento, CA 95823-5420 | 2013-06-06 |
| 1033553425 | Uc Davis Health System | Clinic/Center | 2315 Stockton Blvd, Sesp Op160, Sacramento, CA 95817-2201 | 2013-04-29 |
| 1861795320 | Dignity Health Medical Foundation | Clinic/Center | 3941 J St, Suite 270, Sacramento, CA 95819-3624 | 2010-12-06 |
| 1437488715 | Dignity Community Care | Clinic/Center | 7601 Hospital Dr, Suite 103, Sacramento, CA 95823 | 2009-12-15 |
| 1770725863 | Dignity Health Medical Foundation | Clinic/Center | 3911 Norwood Ave, Sacramento, CA 95838-3361 | 2009-04-03 |
| 1578728077 | Regents of The University of Ca | Clinic/Center | 2521 Stockton Blvd, Ste. 5200, Sacramento, CA 95817-2207 | 2008-07-23 |
| 1912021163 | Dignity Health Medical Foundation | Clinic/Center | 8120 Timberlake Way, Sacramento, CA 95823-5412 | 2007-03-16 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on SUTTER BAY MEDICAL FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.