SUTTER WEST BAY MEDICAL FOUNDATION (NPI# 1245565977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245565977 |
| Entity Type | Organization |
| Organization Name | SUTTER WEST BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER PACIFIC MEDICAL FOUNDATION |
| Practice Address |
3883 Airway Drive Suite 202 Santa Rosa CA 95403-1671 |
| Mailing Address |
1700 California Street Suite 530 San Francisco CA 94109-4591 |
| Practice Telephone | 7075218900 |
| Practice Fax Number | 7075231302 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MR. JOHN B. GATES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4156007771 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER WEST BAY MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Sutter Pacific Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811242563 | Sutter West Bay Medical Foundation | Clinic/Center | 1200 Sonoma Ave, Ste 2, Santa Rosa, CA 95405-6664 | 2012-07-18 |
| 1346575073 | Sutter West Bay Medical Foundation | Emergency Medicine | 3883 Airway Drive, Suite 120, Santa Rosa, CA 95403-1678 | 2009-10-14 |
| 1548494834 | Sutter West Bay Medical Foundation | Internal Medicine | 3880 S Bascom Ave, #113, San Jose, CA 95124-2674 | 2009-05-14 |
| 1619101912 | Sutter West Bay Medical Foundation | Internal Medicine | 3006 S Maryland Pkwy, #470, Las Vegas, NV 89109-2218 | 2009-05-14 |
| 1356575641 | Sutter West Bay Medical Foundation | Internal Medicine | 1315 Alhambra Blvd, #210, Sacramento, CA 95816-5244 | 2009-05-14 |
| 1912131202 | Sutter West Bay Medical Foundation | Internal Medicine | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2009-05-14 |
| 1720212012 | Sutter West Bay Medical Foundation | Internal Medicine | 3000 Colby St, #205, Berkeley, CA 94705-2083 | 2009-05-14 |
| 1124252416 | Sutter West Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-05-14 |
| 1992870042 | Sutter West Bay Medical Foundation | Clinical Medical Laboratory | 3801 Sacramento St, San Francisco, CA 94118-1625 | 2006-11-22 |
| 1104852789 | Sutter West Bay Medical Foundation | Internal Medicine | 2340 Clay St, Floors 1-5 and 7, San Francisco, CA 94115-1932 | 2006-06-24 |
| Street Address |
3883 AIRWAY DRIVE SUITE 202 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215918784 | Elizabeth A Peralta | Surgery | 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403-1671 | 2005-11-10 |
| 1346575073 | Sutter West Bay Medical Foundation | Emergency Medicine | 3883 Airway Drive, Suite 120, Santa Rosa, CA 95403-1678 | 2009-10-14 |
| 1295765881 | John Richard Mendius | Psychiatry & Neurology | 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174861678 | Valley Labs | Clinical Medical Laboratory | 20476 Thompson Rd, Santa Rosa, TX 78593-2084 | 2013-01-18 |
| 1992857718 | Stephen Pinsk, M.d., Inc. | Clinical Medical Laboratory | 2449 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2007-01-18 |
| 1194874065 | County of Sonoma | Clinical Medical Laboratory | 3313 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-01-09 |
| 1891792875 | Redwood Toxicology Laboratory, Inc. | Clinical Medical Laboratory | 3650 Westwind Blvd, Santa Rosa, CA 95403-1066 | 2005-07-05 |
| 1093269235 | Sutter Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Dr, Suite 202, Santa Rosa, CA 95403-1670 | 2016-08-04 |
| 1861693566 | Sutter Medical Foundation | Clinical Medical Laboratory | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-30 |
| 1376759597 | Sutter Medical Foundation North Bay | Clinical Medical Laboratory | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-15 |
| 1588879373 | Redwood Dermatopathology Laboratory | Clinical Medical Laboratory | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2007-05-14 |
| 1730212218 | Lee Histology Lab | Clinical Medical Laboratory | 1212 Farmers Ln, 4, Santa Rosa, CA 95405-6747 | 2007-03-13 |
| 1588743264 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-11-03 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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| 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.