SUTTER BAY MEDICAL FOUNDATION (NPI# 1366898538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366898538 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER EAST BAY MEDICAL FOUNDATION |
| Practice Address |
12 Camino Encinas Orinda CA 94563-3304 |
| Mailing Address |
2000 Powell St 10th Floor Emeryville CA 94608-1804 |
| Practice Telephone | 5102048180 |
| Mailing Telephone | 5104507347 |
| Mailing Fax Number | 5104507309 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-07-06 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sutter East Bay 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 |
| 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 |
| Street Address |
12 CAMINO ENCINAS |
| City | ORINDA |
| State | CA |
| Zip Code | 94563-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548156 | Marilyn Masten Honegger | Obstetrics & Gynecology | 12 Camino Encinas, Orinda, CA 94563-3309 | 2005-06-17 |
| 1497263867 | Rebecca Frances Eliaser Liskin | Nurse Practitioner | 12 Camino Encinas, Orinda, CA 94563-3304 | 2018-01-18 |
| 1487090247 | Sri S Nimmagadda | Family Medicine | 12 Camino Encinas, Orinda, CA 94563 | 2013-05-20 |
| 1114283322 | Ingrid Linnea Larsson | Internal Medicine | 12 Camino Encinas, Orinda, CA 94563-3304 | 2012-04-02 |
| 1982975892 | Jonathan Edward Lynne | Family Medicine | 12 Camino Encinas, Orinda, CA 94563-3304 | 2012-01-24 |
| 1972806941 | Eve Bagg Korshak | Nurse Practitioner | 12 Camino Encinas, Orinda, CA 94563 | 2010-12-14 |
| 1083840458 | Frederick Sewoong Oh | Family Medicine | 12 Camino Encinas, Orinda, CA 94563-3304 | 2009-05-30 |
| 1346415130 | Wai F. Yeung, M.d., Inc | Internal Medicine | 12 Camino Encinas, Suite 6, Orinda, CA 94563-3395 | 2008-04-23 |
| 1366616799 | Malaika Stoll | Family Medicine | 12 Camino Encinas, Orinda, CA 94563-3304 | 2008-04-16 |
| 1235332370 | Christine S Tsang | Nurse Practitioner | 12 Camino Encinas, Orinda, CA 94563-3304 | 2007-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1790333946 | Kristin Baines | Speech-Language Pathologist | Cameron Speech, 8 Camino Encinas Suite 210, Orinda, CA 94563 | 2019-08-30 |
| 1730618026 | Grace Elise Shandalov | Occupational Therapist | 24 Zander Drive, Orinda, CA 94563 | 2017-06-08 |
| 1346698735 | Janet Alexander | Occupational Therapist | 60 Don Gabriel Way, Orinda, CA 94563 | 2016-05-26 |
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1063761609 | Melissa Bailey | Dentist | 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 | 2012-08-29 |
| 1134493927 | Wu Hao Tu | Internal Medicine | 53 Brookside Rd, Orinda, CA 94563 | 2012-02-27 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1245441351 | Laro Virginia Thompson | Psychologist | 23 Altrarinda, Suite 214, Orinda, CA 94563 | 2007-05-24 |
| 1033329404 | Lisa B Kollin | Occupational Therapy Assistant | 8 Great Oak Circle, Orinda, CA 94563 | 2007-05-23 |
| Find all providers in zip 94563 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
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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.