Sutter Bay Hospitals

Doing business as California Pacific Medical Center- Van Ness Campus

Hospital in San Francisco, CA, Medicare certification number 050047. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 050047The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Mar 21, 2025
Beds: 608
Overall star rating: 3 of 5Care Compare
Address: 1101 Van Ness Avenue
San Francisco, CA 94109
(415) 600-6000

NPI records for this facility (CCN to NPI Mapping) 1

Sutter Bay Hospitals
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.51 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.45 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.08 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.69 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.86 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.05 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.2 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.43 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 2.86 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,185

Page 1 of 48Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Mai Abdelnabi, MD
- Rheumatology Physician
- San Francisco, CA
- NPI 1013394980
Michael E Abel, M.D.
- Colon & Rectal Surgery Physician
- San Francisco, CA
- NPI 1447253380
Roy Eugene Abendroth, MD
- Radiation Oncology Physician
- San Francisco, CA
- NPI 1811988421
Aravind Addepalli, MD
- Emergency Medicine Physician
- Oakland, CA
- NPI 1871170142
Julia E Adler, MD
- Psychiatry Physician
- San Francisco, CA
- NPI 1417992694
Anu Agarwal, M.D.
- Cardiovascular Disease Physician
- Santa Rosa, CA
- NPI 1639345481
Ishita Aggarwal, MD
- Rheumatology Physician
- San Francisco, CA
- NPI 1518385699
Dipti Agrawal, MD
- Infectious Disease Physician
- Palo Alto, CA
- NPI 1437137189
Harsh Agrawal, M.D
- Interventional Cardiology Physician
- San Francisco, CA
- NPI 1629397674
Bianka J Aguilar, MD
- Family Medicine Physician
- Santa Rosa, CA
- NPI 1033786694
James Alfred Aicardi, PA-C
- Surgical Physician Assistant
- San Francisco, CA
- NPI 1528557568
Christine Miculob Ainza, AGACNP-BC
- Acute Care Nurse Practitioner
- San Francisco, CA
- NPI 1346783974
Stacy Hinako Akazawa, M.D.
- Family Medicine Physician
- San Francisco, CA
- NPI 1265844799
Kenneth H Akizuki, MD
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1073569703
Hashem Al-Dujaili, MD
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1750062675
Marla Albert, PA
- Physician Assistant
- San Francisco, CA
- NPI 1013427723
Haila Albgal
- Family Nurse Practitioner
- San Francisco, CA
- NPI 1417566043
Nadine Aldahhan, DO
- Family Medicine Physician
- Sausalito, CA
- NPI 1609202308
David E Allen, P.A.-C
- Medical Physician Assistant
- San Francisco, CA
- NPI 1356407951
Charles Allison, M.D.
- Internal Medicine Physician
- San Francisco, CA
- NPI 1376541060
Judy A Alonzo, MD
- Anatomic Pathology & Clinical Pathology Physician
- Burlingame, CA
- NPI 1124040787
Ghada M Alsayed, M.D.
- Family Medicine Physician
- Lynchburg, VA
- NPI 1073805461
Sergio Alvarez-Cardenas
- Physician Assistant
- San Francisco, CA
- NPI 1841903911
Ricardo Alvarez, MD
- Adult Medicine Physician
- San Francisco, CA
- NPI 1649352626
Avanti Ambekar, M.D.
- Diagnostic Radiology Physician
- San Mateo, CA
- NPI 1356447627

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.14
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 2,271 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.05
- State average 0.96 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected192.86
- State average 170.51 (computed here)
- National average 173.3
- No different than the national rate
- 140 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.6
- State average 2.38 (computed here)
- National average 2.4
- No different than the national rate
- 55 patients
- Period from 07/01/2022
Death rate for COPD patients As expected10.3
- State average 8.24 (computed here)
- National average 8.6
- No different than the national rate
- 60 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.5
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 143 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.8
- State average 10.29 (computed here)
- National average 11.1
- No different than the national rate
- 356 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.3
- State average 14.49 (computed here)
- National average 15.2
- No different than the national rate
- 259 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.1
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 173 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.1
- State average 3.81 (computed here)
- National average 3.9
- Better than the national rate
- 2,316 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.31
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 6,430 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 7,168 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.3
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 2,196 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.47
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 925 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.63
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 1,954 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.13
- State average 9.56 (computed here)
- National average 9.42
- No different than the national rate
- 1,112 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected7.26
- State average 5.5 (computed here)
- National average 5.27
- No different than the national rate
- 1,084 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.67
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 832 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.33
- State average 0.48 (computed here)
- National average 0.63
- No different than the national rate
- 5,406 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.22
- State average 0.54
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.33
- State average 0.6
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.37
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.44
- State average 0.7
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.72
- State average 0.79
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 9.2
- State average 4.96 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.3
- State average 8.42 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.95
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 71
- State average 70
- National average 65
- 119 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 210
- State average 180
- National average 168
- 396 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 478
- State average 398
- National average 287
- 20 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 198
- State average 174
- National average 162
- 356 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 319
- State average 260
- National average 257
- 21 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 83
- State average 93
- National average 93
- 81 patients
- Period from 01/01/2024
Head CT results 91
- State average 74
- National average 69
- 22 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 87
- State average 72
- National average 78
- 2,689 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.01 (computed here)
- National average 1.09 (computed here)
- 3,283 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 98
- State average 94.78 (computed here)
- National average 93.49 (computed here)
- 1,511 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 41,100 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 13
- National average 15
- 3,066 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 67
- State average 77
- National average 73
- 39 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 79
- State average 88
- National average 87
- 19 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 90
- State average 84
- National average 81
- 121 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 95
- National average 93
- 85 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 97
- State average 86.9 (computed here)
- National average 82.23 (computed here)
- 5,880 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.3
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 200 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.3
- State average 21.41 (computed here)
- National average 21.3
- No different than the national rate
- 449 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 18.2
- State average 11.09 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 187 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 8.7
- State average 7.9 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 418 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 7.1
- State average 16.67 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 260 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19.2
- State average 17.7 (computed here)
- National average 17.3
- No different than the national rate
- 293 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.2
- State average 5.55 (computed here)
- National average 5.4
- No different than the national rate
- 157 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.2
- State average 11.39 (computed here)
- National average 10.7
- No different than the national rate
- 157 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected11
- State average 11.19 (computed here)
- National average 11
- No different than the national rate
- 33 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.94 (computed here)
- National average 20
- No different than the national rate
- 66 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.5
- State average 12.91 (computed here)
- National average 13
- No different than the national rate
- 551 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 219 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 5

California Pacific Medical Center CCN 050208, San Francisco, CA

Other hospitals in San Francisco, CA

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.