SUTTER BAY HOSPITALS (NPI# 1952634008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952634008 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY HOSPITALS |
| Other Organization Name | SUTTER WEST BAY HOSPITALS |
| Practice Address |
5176 Hill Rd. E Lakeport CA 95453-6300 |
| Mailing Address |
Po Box 742412 Los Angeles CA 90074-2412 |
| Practice Telephone | 4156006000 |
| Practice Fax Number | 4156007776 |
| Mailing Telephone | 4156006000 |
| Mailing Fax Number | 4156007776 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-03-03 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
CA | Hospitals | |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
110000094 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR00476F | 05 | |
| CA | HSP40476F | 05 |
| Other Name | Type Code |
|---|---|
| Sutter West Bay Hospitals | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281501 | Sutter Bay Hospitals | Pharmacy | 3100 Summit St, Oakland, CA 94609-3412 | 2017-12-15 |
| 1326554239 | Sutter Bay Hospitals | Pharmacy | 2001 Dwight Way Ste 2182, Berkeley, CA 94704-2608 | 2017-12-15 |
| 1295181477 | Sutter Bay Hospitals | Clinical Medical Laboratory | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-05-06 |
| 1194171371 | Sutter Bay Hospitals | Rehabilitation Unit | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2016-05-06 |
| 1467808659 | Sutter Bay Hospitals | General Acute Care Hospital | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2016-05-06 |
| 1639523004 | Sutter Bay Hospitals | Clinical Medical Laboratory | 2450 Ashby Ave, Berkeley, CA 94705-2067 | 2016-04-21 |
| 1447604814 | Sutter Bay Hospitals | Psychiatric Unit | 2001 Dwight Way, Berkeley, CA 94704-2608 | 2016-04-21 |
| 1295199701 | Sutter Bay Hospitals | General Acute Care Hospital | 570 Willow Rd, Menlo Park, CA 94025-2617 | 2016-04-11 |
| 1922462431 | Sutter Bay Hospitals | Custodial Care Facility | 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3224 | 2016-04-11 |
| 1689035628 | Sutter Bay Hospitals | General Acute Care Hospital | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | 2016-03-18 |
| Street Address |
5176 HILL RD. E |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-6300 |
| 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 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| 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.