SUTTER BAY HOSPITALS (NPI# 1770816829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770816829 |
| 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 | 2016-03-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
110000094 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RKY13994F | 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 |
| 1598098642 | Sutter Bay Hospitals | Medicare Defined Swing Bed Unit | 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417027095 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 487 S Main St, Lakeport, CA 95453-5315 | 2006-11-09 |
| 1871063040 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 801 11th St, Lakeport, CA 95453-4100 | 2018-11-30 |
| 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 |
| 1073745337 | Sutter Lakeside Hospital | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2009-08-19 |
| 1053495879 | Sutter Lakeside Hospital | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2006-10-25 |
| 1407962459 | Sutter Lakeside Hospital | Clinic/Center | 5176 Hill Rd E, Lakeport, CA 95453-6300 | 2006-08-22 |
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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 |
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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.