SUTTER BAY MEDICAL FOUNDATION (NPI# 1043654486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043654486 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Practice Address |
2581 Samaritan Dr Suite 308 San Jose CA 95124-4113 |
| Mailing Address |
2350 W El Camino Real Credentialing Dept, 2nd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 4088764800 |
| Mailing Telephone | 6509343526 |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | DR. ELIZABETH VILARDO (CEO) |
| Authorized Official Telephone | 6509343526 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| 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 |
2581 SAMARITAN DR SUITE 308 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258005 | Kurt N Bausback | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4113 | 2006-01-05 |
| 1861755092 | Sanaz Keyhan | Obstetrics & Gynecology | 2581 Samaritan Dr, San Jose, CA 95124-4113 | 2012-06-22 |
| 1548527146 | Samaritan Surgery Center | Clinic/Center | 2581 Samaritan Dr, Suite 300, San Jose, CA 95124-4113 | 2012-04-19 |
| 1164790473 | Amy Solis | Nurse Practitioner | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2011-12-01 |
| 1093092686 | Fabrice J Gallez, Dds, Ms, Inc | Clinic/Center | 2581 Samaritan Dr, Suite #310, San Jose, CA 95124-4113 | 2011-11-09 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1417182593 | Michael Timothy Purkey | Otolaryngology | 2581 Samaritan Dr, Suite 210, San Jose, CA 95124-4113 | 2009-05-19 |
| 1700030418 | Mohammad Ezzati | Obstetrics & Gynecology | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2008-11-07 |
| 1609022581 | Amin Manuchehry | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4112 | 2008-08-12 |
| 1700066776 | Weichung Liu | Radiology | 2581 Samaritan Dr, Suite 206, San Jose, CA 95124-4113 | 2007-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1588131395 | Baasc | Clinic/Center | 4215 Hamilton Ave, San Jose, CA 95130-1462 | 2018-10-30 |
| 1295213734 | Los Gatos Surgical Center, A California Limited Partnership | Clinic/Center | 2410 Samaritan Dr Ste 100, San Jose, CA 95124-3909 | 2018-08-06 |
| 1538618368 | Evergreen Surgery Center, LLC | Clinic/Center | 2365 Quimby Rd Ste 180, San Jose, CA 95122-1337 | 2016-09-21 |
| 1801269121 | Silver Creek Surgery Ctr LLC | Clinic/Center | 6010 Hellyer Ave, Suite 100, San Jose, CA 95138-1014 | 2015-11-09 |
| 1891837415 | Plastic & Reconstructive Surgery Center | Clinic/Center | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 | 2007-02-12 |
| 1508942996 | Physicians Surgery Services Lp | Clinic/Center | 235 Oconnor Dr, San Jose, CA 95128-1624 | 2006-10-27 |
| 1194712109 | Executive Endoscopy, Inc | Clinic/Center | 2100 Forest Ave, 109, San Jose, CA 95128-1422 | 2005-10-04 |
| 1568837060 | Prism | Clinic/Center | 6080 Hellyer Ave, Suite 100, San Jose, CA 95138-1052 | 2015-12-09 |
| 1770951915 | Tri-county Vascular Care, LLC | Clinic/Center | 393 Blossom Hill Rd, San Jose, CA 95123-1652 | 2015-09-03 |
| Find all providers in SAN JOSE | ||||
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.