SUTTER BAY MEDICAL FOUNDATION (NPI# 1760833834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760833834 |
| Entity Type | Organization |
| Organization Name | SUTTER BAY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER PACIFIC MEDICAL FOUNDATION |
| Practice Address |
750 Las Gallinas Ave Ste 210 San Rafael CA 94903-3432 |
| Mailing Address |
2350 W El Camino Real 3rd Floor Mountain View CA 94040-6201 |
| Practice Telephone | 4154797244 |
| Practice Fax Number | 4154790917 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sutter Pacific 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 |
| 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 |
750 LAS GALLINAS AVE STE 210 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459676 | Aimy Grace Taniguchi | Pediatrics | 6 Sierra Cir, San Rafael, CA 94901-3647 | 2020-02-12 |
| 1437232592 | Mary Curtiss Steele | Pediatrics | 4000 Civic Center Dr Ste 300, San Rafael, CA 94903-4171 | 2006-10-23 |
| 1376993279 | Nicolas Sebastian Mottola | Pediatrics | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2016-06-21 |
| 1689060063 | Dana Jackson | Pediatrics | 3260 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-04-13 |
| 1275827347 | Tiffanie Pei-ling Tse | Pediatrics | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2011-06-06 |
| 1740509223 | Elenor Macgregor | Pediatrics | 1004 Northgate Dr, San Rafael, CA 94903-2502 | 2010-05-24 |
| 1922201433 | Lauren Wadland Meisel | Pediatrics | 3110 Kerner Blvd, San Rafael, CA 94901-5411 | 2007-06-11 |
| 1518019322 | Kelli Denise Chan Sigg | Pediatrics | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2007-01-18 |
| 1427120179 | Cindy T. Chung | Pediatrics | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-11-15 |
| 1982783023 | Paul H. Katz | Pediatrics | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-11-02 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on SUTTER BAY MEDICAL FOUNDATION.
| 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.