SUTTER WEST BAY HOSPITALS (NPI# 1629301775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629301775 |
| Entity Type | Organization |
| Organization Name | SUTTER WEST BAY HOSPITALS |
| Other Organization Name | SUTTER LAKESIDE COMMUNITY HEALTH CENTER |
| Practice Address |
750 Old Lucerne Road Upper Lake CA 95485-0000 |
| Mailing Address |
Po Box 742412 Los Angeles CA 90074-2412 |
| Practice Telephone | 7072759066 |
| Practice Fax Number | 7072759070 |
| Mailing Telephone | 4156007120 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | MR. BRIAN TRENT HUNTER (VP SHARED SERVICES) |
| Authorized Official Telephone | 9162978555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
110000094 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RKY18547F | 05 |
| Other Name | Type Code |
|---|---|
| Sutter Lakeside Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1700119856 | Sutter West Bay Hospitals | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-09-08 |
| 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 |
| Street Address |
750 OLD LUCERNE ROAD |
| City | UPPER LAKE |
| State | CA |
| Zip Code | 95485-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679874861 | Florence C. Irvine | Psychiatry & Neurology | 15525 Elk Mountain Road, Upper Lake, CA 95485 | 2010-11-04 |
| 1265897029 | Redwood Community Services, Inc | Case Management | 675 1st St, Upper Lake, CA 95485 | 2015-12-22 |
| 1316928807 | Debra K. Fenton | Nurse Practitioner | 750 Old Lucerne Rd, Upper Lake, CA 95485-8755 | 2005-11-10 |
| 1043749369 | Isabel Gregorio-flores | Behavior Technician | 590 Melody Ln, Upper Lake, CA 95485-8782 | 2017-06-08 |
| 1730360975 | Rebecca A Rogers | Counselor | 565 Clover Dr, Upper Lake, CA 95485-9233 | 2007-11-15 |
| 1538207360 | Rayna S Freedman | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2007-02-02 |
| 1578800710 | Elizabeth M Cumings | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2013-01-08 |
| 1407100290 | Ann Martin | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2012-11-01 |
| 1578719134 | Kathryn C Reisig | Marriage & Family Therapist | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-08-14 |
| 1124283890 | April D Byerly | Counselor | 9860 Middle Creek Rd, Upper Lake, CA 95485-9265 | 2008-07-22 |
| Find all providers in zip 95485 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | UPPER LAKE |
| Zip Code | 95485 |
Please comment or provide details below to improve the information on SUTTER WEST BAY HOSPITALS.
| 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.