SUTTER BAY MEDICAL FOUNDATION (NPI# 1679924765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679924765 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER PACIFIC MEDICAL FOUNDATION |
| Practice Address |
3006 S Maryland Pkwy Ste 470 Las Vegas NV 89109-2235 |
| Mailing Address |
2350 W El Camino Real 3rd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 7027969111 |
| Practice Fax Number | 7027929112 |
| Mailing Telephone | 6506965270 |
| Mailing Fax Number | 6506965279 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| 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 |
|---|---|---|---|---|---|
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1992258263 | Sutter Bay Medical Foundation | Internal Medicine | 2340 Clay St, Floors 1-5 and 7, San Francisco, CA 94115-1932 | 2016-08-03 |
| Street Address |
3006 S MARYLAND PKWY STE 470 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689850695 | Rui Yu | Internal Medicine | 2425 N Lamb Blvd Ste 120, Las Vegas, NV 89115-5420 | 2008-01-21 |
| 1689870487 | Maria Diana Vornicu | Internal Medicine | 1581 Mount Mariah Dr Ste 150, Las Vegas, NV 89106-1502 | 2007-06-27 |
| 1093911430 | Las Vegas Kidney Specialists Janga LLP | Internal Medicine | 5945 S Rainbow Boulevard, Suite 140, Las Vegas, NV 89118 | 2007-06-22 |
| 1801902234 | The Nevada Medical Group | Internal Medicine | 2200 W. Horizon Ridge Parkway, Suite F, Las Vegas, NV 89052-2637 | 2006-08-21 |
| 1447280524 | Radhika Rani Janga | Internal Medicine | 6970 W Patrick Ln Ste 140, Las Vegas, NV 89113-0270 | 2006-07-04 |
| 1962483073 | Gary L Kantor | Internal Medicine | 1750 E Desert Inn Rd, #200, Las Vegas, NV 89109-3202 | 2005-11-07 |
| 1801886825 | Neville Pokroy | Internal Medicine | 500 S Rancho Dr, Suite 12, Las Vegas, NV 89106-4844 | 2005-10-21 |
| 1023006384 | Harsha M Mulchandani | Internal Medicine | 2545 S Bruce St Ste 200, Las Vegas, NV 89169-1778 | 2005-10-11 |
| 1659365286 | Gene Ong | Internal Medicine | 2420 Professional Ct Ste 150, Las Vegas, NV 89128-0837 | 2005-09-09 |
| 1679567309 | Luana Pillon | Internal Medicine | 7908 W Sahara Ave, Las Vegas, NV 89117-1990 | 2005-09-08 |
| Find all providers in LAS VEGAS | ||||
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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.