SUTTER BAY MEDICAL FOUNDATION (NPI# 1861843955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861843955 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER PACIFIC MEDICAL FOUNDATION |
| Practice Address |
3880 S Bascom Ave Ste 113 San Jose CA 95124-2600 |
| Mailing Address |
2350 W El Camino Real 3rd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 4088325498 |
| Practice Fax Number | 4089275421 |
| 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 | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sutter Pacific Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
3880 S BASCOM AVE STE 113 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-2600 |
| 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 | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857169 | Stuart F Robinson | Internal Medicine | 206 Marine Ave Unit 5060, Newport Beach, CA 92662-7026 | 2016-04-26 |
| 1033514054 | David Zakim | Internal Medicine | 323 Melrose Ave, Mill Valley, CA 94941-3437 | 2014-11-03 |
| 1639508476 | Robert G Gish Consultants LLC | Internal Medicine | 6022 La Jolla Mesa Dr, La Jolla, CA 92037-7814 | 2013-11-02 |
| 1891716494 | Sergio E Rojter | Internal Medicine | 1245 Wilshire Blvd Ste 707, Los Angeles, CA 90017-4807 | 2006-07-21 |
| 1881654226 | Edward Alfonso Mena | Internal Medicine | 301 S Fair Oaks Ave Ste 405, Pasadena, CA 91105 | 2006-03-27 |
| 1043846108 | Ken D. Nguyen, M.d., Inc. | Internal Medicine | 207 S Santa Anita St Ste P15, San Gabriel, CA 91776-1165 | 2020-03-20 |
| 1346876448 | Tien-chun Chen, M.d., Inc. | Internal Medicine | 207 S Santa Anita St Ste P15, San Gabriel, CA 91776-1165 | 2020-03-20 |
| 1689226649 | Northern California Medical Assoc Inc | Internal Medicine | 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 | 2019-07-10 |
| 1164906822 | Valerie Soojung Shin | Internal Medicine | 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-8344 | 2018-09-19 |
| 1104370253 | Sutter Bay Medical Foundation | Internal Medicine | 3000 Colby St Ste 205, Berkeley, CA 94705-2058 | 2016-08-06 |
| Find all providers with the same taxonomy | ||||
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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.