SUTTER MEDICAL FOUNDATION (NPI# 1972704542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972704542 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL FOUNDATION |
| Practice Address |
3536 Mendocino Ave Suite 300 Santa Rosa CA 95403-3634 |
| Mailing Address |
15620 Healdsburg Ave Healdsburg CA 95448-9617 |
| Practice Telephone | 7075711280 |
| Practice Fax Number | 7075785849 |
| Mailing Telephone | 7074734531 |
| Mailing Fax Number | 7074734559 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LISA M PHILLIPS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7074734531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | ========= | CA | Allopathic & Osteopathic Physicians |
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
========= | CA | Allopathic & Osteopathic Physicians |
| X | 291U00000X | Clinical Medical Laboratory | ========= | CA | Laboratories |
| X | 207Q00000X | Family Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
========= | CA | Allopathic & Osteopathic Physicians |
| X | 207V00000X | Obstetrics & Gynecology | ========= | CA | Allopathic & Osteopathic Physicians |
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
========= | CA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | ========= | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524095 | Sutter Medical Foundation | Radiology | 2800 L St Fl 7, Sacramento, CA 95816-5616 | 2010-03-18 |
| 1649404211 | Sutter Medical Foundation | Anesthesiology | 460 Plumas Boulevard Suite 202, Yuba City, CA 95991-5005 | 2009-05-11 |
| 1295092542 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2012-04-11 |
| 1134437254 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 568 N Sunrise Ave, Suite 250, Roseville, CA 95661-3097 | 2010-09-23 |
| 1568779908 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 5301 F St, 117, Sacramento, CA 95819-3226 | 2010-09-07 |
| 1548497944 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 Plumas Blvd, Suite 200, Yuba City, CA 95991-5081 | 2009-06-12 |
| 1619102324 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 690 Main St, Rio Vista, CA 94571-1621 | 2009-05-26 |
| 1528293230 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2009-05-26 |
| 1710112420 | Sutter Medical Foundation | Clinical Medical Laboratory | 770 Mason St, Vacaville, CA 95688-4646 | 2009-05-26 |
| 1497980262 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2009-05-22 |
| Street Address |
3536 MENDOCINO AVE SUITE 300 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425914 | Patrick J Caskey | Ophthalmology | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2005-05-24 |
| 1134517139 | Emine C. Loxley Dmd, PC | Clinic/Center | 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 | 2014-12-30 |
| 1295152379 | Matthew Armstrong Powers | Student in an Organized Health Care Education/Training Program | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2014-03-26 |
| 1083954515 | Deborah Ann Magee | Nurse Practitioner | 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 | 2013-02-20 |
| 1407145477 | Nayabei Barretto | Nurse Practitioner | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2011-03-30 |
| 1811128275 | Kimberly Brayton Brayton | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-08-03 |
| 1144455825 | Vishal Ghanshyam Patel | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-05-25 |
| 1881844397 | Deborah Wolff-baker | Nurse Practitioner | 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 | 2008-09-22 |
| 1356540272 | Jaime Jeremy Molden | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2007-07-11 |
| 1861693566 | Sutter Medical Foundation | Clinical Medical Laboratory | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1780811927 | Samuel Chaim Schecter | Surgery | 401 Bicentennial Way, Suite 260, The Permanente Medical Group, Santa Rosa, CA 95403 | 2009-06-15 |
| 1225103369 | Healthy Steps Weight Loss Center Medical Corporation | Surgery | 4730 Hoen Avenue, Santa Rosa, CA 95405 | 2006-11-22 |
| 1528133642 | Mohammad H Mir-sepasi | Surgery | 4658 Kilarney Cir, Santa Rosa, CA 95403-0105 | 2006-11-22 |
| 1881769966 | Robert Earl Richardson | Surgery | 1812 Happy Valley Rd, Santa Rosa, CA 95409 | 2006-11-22 |
| 1346324415 | Roger W. Kirchner | Surgery | 3715 Autumn Glen Ct, Santa Rosa, CA 95403-0994 | 2006-10-25 |
| 1992716450 | North Bay Medical Group, Inc. | Surgery | 3850 Montgomery Dr, Suite D, Santa Rosa, CA 95405-5207 | 2006-08-10 |
| 1396754511 | James W Harwood | Surgery | 1111 Sonoma Ave #320, Santa Rosa, CA 95405 | 2006-08-05 |
| 1629092309 | Elizabeth P Tito | Surgery | 121 Sotoyome St Ste 203, Santa Rosa, CA 95405-4822 | 2006-07-27 |
| 1366422008 | Mitchell Edward Bailey | Surgery | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | 2006-01-19 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on SUTTER 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.