SUTTER BAY HOSPITALS (NPI# 1598098642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598098642 |
| 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 | 7072625000 |
| Practice Fax Number | 7072625003 |
| Mailing Telephone | 4156007120 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-03-11 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 110000094 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC 30476F | 05 |
| Other Name | Type Code |
|---|---|
| Sutter West Bay Hospitals | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634008 | Sutter Bay Hospitals | General Acute Care Hospital | 5176 Hill Rd. E, Lakeport, CA 95453-6300 | 2009-09-08 |
| 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 |
| Street Address |
5176 HILL RD E |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-6300 |
| 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 |
| 1700119856 | Sutter West Bay Hospitals | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-09-08 |
| Find all providers in the same location | ||||
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089875 | Sutter Lakeside Hospital | Medicare Defined Swing Bed Unit | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1124473210 | Vi | Medicare Defined Swing Bed Unit | 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 | 2016-04-26 |
| 1023495793 | Doc Vk Corp | Medicare Defined Swing Bed Unit | 6779 Sandalwood Dr, Simi Valley, CA 93063-5802 | 2015-05-01 |
| 1881922110 | Southern Inyo Hospical | Medicare Defined Swing Bed Unit | 501 E. Locust St., Lone Pine, CA 93545-0000 | 2009-11-24 |
| 1780829408 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 550 Naples St, San Francisco, CA 94112-2824 | 2008-12-09 |
| 1598932436 | N P Coller Holding | Medicare Defined Swing Bed Unit | 7616 Girard Ave, La Jolla, CA 92037-4420 | 2008-05-09 |
| 1366658239 | Rady Children's Hospital | Medicare Defined Swing Bed Unit | 4690 Coconino Way, San Diego, CA 92117-2612 | 2007-05-15 |
| 1700936309 | Ucd-som Neurological Surgery | Medicare Defined Swing Bed Unit | 2315 Stockton Boulevard, Suite 3740 Acc, Sacramento, CA 95817-2201 | 2007-01-12 |
| 1154431096 | Va Greater La Healthcare System | Medicare Defined Swing Bed Unit | 1825 N Kingsley Dr, Los Angeles, CA 90027-3762 | 2006-08-30 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
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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.