SUTTER WEST BAY MEDICAL FOUNDATION (NPI# 1811242563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811242563 |
| Entity Type | Organization |
| Organization Name | SUTTER WEST BAY MEDICAL FOUNDATION |
| Other Organization Name | ENDOSCOPY CENTER OF SANTA ROSA |
| Practice Address |
1200 Sonoma Ave Ste 2 Santa Rosa CA 95405-6664 |
| Mailing Address |
2015 Steiner St San Francisco CA 94115-2627 |
| Practice Telephone | 7075712192 |
| Practice Fax Number | 7075712194 |
| Mailing Telephone | 4156004280 |
| Mailing Fax Number | 4156002128 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MICHAEL J. COHILL (PRESIDENT) |
| Authorized Official Telephone | 4156007771 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER WEST BAY MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Endoscopy Center of Santa Rosa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346575073 | Sutter West Bay Medical Foundation | Emergency Medicine | 3883 Airway Drive, Suite 120, Santa Rosa, CA 95403-1678 | 2009-10-14 |
| 1245565977 | Sutter West Bay Medical Foundation | Clinical Medical Laboratory | 3883 Airway Drive, Suite 202, Santa Rosa, CA 95403-1671 | 2009-10-14 |
| 1548494834 | Sutter West Bay Medical Foundation | Internal Medicine | 3880 S Bascom Ave, #113, San Jose, CA 95124-2674 | 2009-05-14 |
| 1619101912 | Sutter West Bay Medical Foundation | Internal Medicine | 3006 S Maryland Pkwy, #470, Las Vegas, NV 89109-2218 | 2009-05-14 |
| 1356575641 | Sutter West Bay Medical Foundation | Internal Medicine | 1315 Alhambra Blvd, #210, Sacramento, CA 95816-5244 | 2009-05-14 |
| 1912131202 | Sutter West Bay Medical Foundation | Internal Medicine | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2009-05-14 |
| 1720212012 | Sutter West Bay Medical Foundation | Internal Medicine | 3000 Colby St, #205, Berkeley, CA 94705-2083 | 2009-05-14 |
| 1124252416 | Sutter West Bay Medical Foundation | Family Medicine | 750 Las Gallinas Ave, #210, San Rafael, CA 94903-3438 | 2009-05-14 |
| 1992870042 | Sutter West Bay Medical Foundation | Clinical Medical Laboratory | 3801 Sacramento St, San Francisco, CA 94118-1625 | 2006-11-22 |
| 1104852789 | Sutter West Bay Medical Foundation | Internal Medicine | 2340 Clay St, Floors 1-5 and 7, San Francisco, CA 94115-1932 | 2006-06-24 |
| Street Address |
1200 SONOMA AVE STE 2 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532655 | Veronica Manwai Ng | Specialist | 1200 Sonoma Ave, Ste. 1, Santa Rosa, CA 95405-6664 | 2006-06-06 |
| 1407970544 | Sutter Medical Group of The Redwoods | Pediatrics | 1200 Sonoma Ave, Suite 6, Santa Rosa, CA 95405-6664 | 2007-03-16 |
| 1467478818 | Endoscopy Center of Santa Rosa | Clinic/Center | 1200 Sonoma Ave, Suite 2, Santa Rosa, CA 95405-6664 | 2006-07-15 |
| 1134152028 | Leland Davis | Pediatrics | 1200 Sonoma Ave, Suite 6, Santa Rosa, CA 95405-6664 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1063646594 | Advanced Surgery Institute, LLC | Clinic/Center | 1739 4th St, Santa Rosa, CA 95404-3601 | 2009-05-12 |
| 1215002852 | Santa Rosa Ambulatory Surgical Center Medical Group Inc | Clinic/Center | 76 Brookwood Ave Ste B, Santa Rosa, CA 95404-4312 | 2006-11-21 |
| 1922197987 | Chernoff and Associates Cosmetic Surgeons | Clinic/Center | 830 2nd St, Santa Rosa, CA 95404-4620 | 2006-10-11 |
| 1831200815 | Novamed Surgery Center of Santa Rosa, LLC | Clinic/Center | 1720 4th St, Santa Rosa, CA 95404-3602 | 2006-08-31 |
| 1457317398 | Santa Rosa Surgery Center Lp | Clinic/Center | 34 Mark West Springs Rd Suite 100, Santa Rosa Surgery and Endoscopy Center, Santa Rosa, CA 95403-1436 | 2006-04-20 |
| 1386966935 | Norcal Specialty Surgery Center, LLC | Clinic/Center | 730 Bennett Valley Rd, Santa Rosa, CA 95404-5514 | 2010-02-24 |
| 1295878874 | The Surgery Suite | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-14 |
| 1538201587 | Plastic Surgery Associates | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-13 |
| 1639220189 | North Bay Medical Group Surgery Center | Clinic/Center | 4415 Sonoma Hwy, Suite B, Santa Rosa, CA 95409-7100 | 2007-01-12 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on SUTTER WEST 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.