Sutter Pacific Medical Foundation
LBN: Sutter West Bay Medical Foundation
Sutter Pacific Medical Foundation is an health care organization with primary practice located at 3883 Airway Drive Suite 120, Santa Rosa CA 95403-1678. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Podiatrist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sutter West Bay Medical Foundation can be contacted via phone (707) 521-8966, or through Gates, John B. via phone 41560007771.
Contact Information
Primary practice address
3883 Airway Drive Suite 120
Santa Rosa CA 95403-1678
Phone: (707) 521-8966
Fax: (707) 523-1301
Website:
Health care specialties
Profile Details
| NPI number | 1346575073 |
|---|---|
| LBN Legal business name | Sutter West Bay Medical Foundation |
| DBA Doing business as | Sutter Pacific Medical Foundation |
| Authorized official | Gates, John B. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 14th, 2009 |
| Last updated | May 21st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346575073 | NPPES |
| California | MEDICAID | GR0055425 | |
| California | MEDICAID | GR00055421 | |
| California | MEDICAID | GR0091420 |
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