SUTTER WEST BAY HOSPITALS


Address: 5176 Hill Rd E, Lakeport, CA 95453-6300
Phone: 7072625001

SUTTER WEST BAY HOSPITALS (NPI# 1700119856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700119856
Entity Type Organization
Organization Name SUTTER WEST BAY HOSPITALS
Other Organization Name SUTTER LAKESIDE HOSPITAL MOBILE HEALTH CLINIC
Practice Address 5176 Hill Rd E
Lakeport
CA 95453-6300
Mailing Address Po Box 742412
Los Angeles
CA 90074-2412
Practice Telephone 7072625001
Practice Fax Number 7072625003
Mailing Telephone 4156007120
Enumeration Date 2009-09-08
Last Update Date 2016-04-21
Authorized Official Name JOHN GATES (CFO SHBA)
Authorized Official Telephone 5104507357
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
110000094 CA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sutter Lakeside Hospital Mobile Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629301775 Sutter West Bay Hospitals Clinic/Center 750 Old Lucerne Road, Upper Lake, CA 95485-0000 2009-09-08
1154497824 Sutter West Bay Hospitals Skilled Nursing Facility 3773 Sacramento Street, San Francisco, CA 94118 2006-11-27
1093106247 Sutter West Bay Hospitals General Acute Care Hospital 2340 Clay St, 5th Floor, Ophthalmology Department, San Francisco, CA 94115-1932 2015-02-10
1831597517 Sutter West Bay Hospitals Clinic/Center 5176 Hill Rd E, Modular Building, Lakeport, CA 95453-6300 2014-12-12
1881712933 Sutter West Bay Hospitals General Acute Care Hospital 3555 Cesar Chavez, San Francisco, CA 94110-4403 2007-03-27
1134247281 Sutter West Bay Hospitals Long Term Care Hospital 3555 Cesar Chavez, San Francisco, CA 94110-4403 2007-03-27
1043338957 Sutter West Bay Hospitals Clinic/Center 3555 Cesar Chavez, San Francisco, CA 94110-4403 2007-03-27
1518016856 Sutter West Bay Hospitals Skilled Nursing Facility 3773 Sacramento Street, San Francisco, CA 94118 2007-01-09
1265590442 Sutter West Bay Hospitals General Acute Care Hospital 45 Castro Street, San Francisco, CA 94114 2006-12-04
1023176252 Sutter West Bay Hospitals Psychiatric Unit 45 Castro Street, San Francisco, CA 94114 2006-12-04

Office Location

Street Address 5176 HILL RD E
City LAKEPORT
State CA
Zip Code 95453-6300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023013125 Myron P. Schneider Radiology 5176 Hill Rd E, Dept of Imaging, Lakeport, CA 95453-6300 2005-06-15
1417441080 Farallon Inpatient Medical Group Inc Emergency Medicine 5176 Hill Rd E, Lakeport, CA 95453-6300 2018-06-18
1093171522 California Advanced Imaging Medical Associates, Inc. Radiology 5176 Hill Rd E, Lakeport, CA 95453-6300 2016-01-13
1831597517 Sutter West Bay Hospitals Clinic/Center 5176 Hill Rd E, Modular Building, Lakeport, CA 95453-6300 2014-12-12
1710300504 California Pacific Pathology Medical Group Pathology 5176 Hill Rd E, Lakeport, CA 95453-6300 2014-01-29
1194068635 Lake County Anesthesia PC Anesthesiology 5176 Hill Rd E, Lakeport, CA 95453-6300 2013-04-03
1841541455 Richelle M Gaiter Physician Assistant 5176 Hill Rd E, Lakeport, CA 95453-6300 2012-09-21
1023380334 Kimberley Curtis Acupuncturist 5176 Hill Rd E, Lakeport, CA 95453-6300 2012-02-01
1770816829 Sutter Bay Hospitals Clinic/Center 5176 Hill Rd E, Lakeport, CA 95453-6300 2009-09-08
1598098642 Sutter Bay Hospitals Medicare Defined Swing Bed Unit 5176 Hill Rd E, Lakeport, CA 95453-6300 2009-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427526847 Easter Seals Bay Area Early Intervention Provider Agency 1950 Parallel Drive, Lakeport, CA 95453 2018-11-03
1285000810 Lake County Tribal Health Consortium, Inc. Clinic/Center 14678 Lakeshore Boulevard, Clearlake, CA 95453 2015-08-18
1942558721 Lorena A Watson Nurse Practitioner 5108 Hill Road East, Lakeport, CA 95453 2012-08-27
1992024657 Jennifer Stolworthy Smith Case Manager/Care Coordinator 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 2010-05-20
1376720664 June Arisa Masato Marriage & Family Therapist 1152 S. Main St, Lakeport, CA 95453 2008-01-29
1245417021 Robert Ryan Taylor Sr. Physical Therapist 1285 S Main Street, Lakeport, CA 95453 2008-01-24
1760669618 Joan Kammerer Registered Nurse 922 Bevins Court, Lakeport, CA 95453 2008-01-23
1881878353 Mary Theresa Mcmillan Marriage & Family Therapist 75 Fourth Street, Lakeport, CA 95453 2007-12-19
1922288984 Robert William Krause Family Medicine 755 Eleventh St, Lakeport, CA 95453 2007-11-07
1568683092 Dan Sleeth Marriage & Family Therapist 991 Parallel Dr., Lakeport, CA 95453 2007-05-01
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417027095 Adventist Health Clearlake Hospital Inc Clinic/Center 487 S Main St, Lakeport, CA 95453-5315 2006-11-09
1871063040 Adventist Health Clearlake Hospital, Inc Clinic/Center 801 11th St, Lakeport, CA 95453-4100 2018-11-30
1831597517 Sutter West Bay Hospitals Clinic/Center 5176 Hill Rd E, Modular Building, Lakeport, CA 95453-6300 2014-12-12
1770816829 Sutter Bay Hospitals Clinic/Center 5176 Hill Rd E, Lakeport, CA 95453-6300 2009-09-08
1073745337 Sutter Lakeside Hospital Clinic/Center 5176 Hill Rd E, Lakeport, CA 95453-6300 2009-08-19
1053495879 Sutter Lakeside Hospital Clinic/Center 5176 Hill Rd E, Lakeport, CA 95453-6300 2006-10-25
1407962459 Sutter Lakeside Hospital Clinic/Center 5176 Hill Rd E, Lakeport, CA 95453-6300 2006-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1174130942 Kaweah Delta Health Care District Clinic/Center 1000 N Mooney Blvd, Tulare, CA 93274-2417 2020-09-25
1922614197 Sierra View Local Health Care District Clinic/Center 9520 Road 238, Terra Bella, CA 93270 2020-09-22
1124643598 Valley Healthcare Centers Clinic/Center 369 N Church Rd, Earlimart, CA 93219 2020-06-11
1477177210 Anand Narayan Md Inc Clinic/Center 317 W El Monte Way, Dinuba, CA 93618-1557 2020-06-06
1902435894 Slt Medical Group Inc Clinic/Center 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 2020-04-03
1881232676 Madera Community Hospital Clinic/Center 121 Belmont Ave., Suite 101, Mendota, CA 93640 2019-12-12
1790331817 Valley Healthcare Centers Clinic/Center 252 N Highway 65, Lindsay, CA 93247-2702 2019-08-14
1093274508 Adventist Health Clearlake Hospital, Inc Clinic/Center 6300 E. Highway 20, Lucerne, CA 95458 2019-03-14
1679038434 Ridgecrest Regional Hospital Clinic/Center 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 2019-02-06
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Competitor

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City LAKEPORT
Zip Code 95453

Improve Information

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Dataset Information

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.

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