NPIMap

Organization Active NPI

Sutter Bay Medical Foundation

Doing business as Palo Alto Medial Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1013950807
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUTTER BAY MEDICAL FOUNDATION
Doing business as
Palo Alto Medial Foundation
Practice address
795 El Camino Real
Palo Alto, CA 94301-2302
Phone
(650) 321-4121
NPI assigned
Jun 13, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin Keller
Title
Sr. Director, Planning and Alignmen
Phone
(650) 934-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

795 El Camino Real
Palo Alto, CA 94301-2302

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other names 1

  • Palo Alto Medial Foundation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, AZ, FL, NC, MA, MI, VA, TN, HI, NJ, ID, WA, OH, TX, MO, IA, PA, WI, VT, CO21 enrollments

Enrollment records 21

Enrollment IDStateProvider typePAC IDDetails
O20031125000909 CA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 4,737 practitioners
2 other NPIs on this enrollment
O20140609001793 NV Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Henderson, NV; Reno, NV; Las Vegas, NV
O20200109001586 AZ Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott, AZ; Tucson, AZ; Tempe, AZ; Phoenix, AZ
O20200205000593 FL Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 6 practitioners
Practice locations: Clearwater Beach, FL; Sarasota, FL; Saint Petersburg, FL; Palm Beach Gardens, FL; Miami, FL; Delray Beach, FL; Dunnellon, FL; Cocoa, FL
O20200617003128 NC Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Lenoir, NC; Chapel Hill, NC; Charlotte, NC
O20200716000190 MA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington, MA; Brookline, MA; Franklin, MA; Norton, MA
O20200825000686 MI Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 2 practitioners
Practice locations: Brighton, MI; Marquette, MI
O20200921000826 VA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA
O20200930003729 TN Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 2 practitioners
Practice locations: Kingsport, TN; Lynnville, TN
O20201015001996 HI Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI
O20201117000278 NJ Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Basking Ridge, NJ
O20210419002351 ID Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID
O20210722000977 WA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Olympia, WA
O20210908003674 OH Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 2 practitioners
Practice locations: Canton, OH; Goshen, OH; Hudson, OH
O20221130002227 TX Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 3 practitioners
Practice locations: Dallas, TX; Tyler, TX; Garland, TX
O20230424001634 MO Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 2 practitioners
Practice locations: Amity, MO; Kansas City, MO
O20231031003268 IA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Urbandale, IA; Waukee, IA
O20240124001970 PA Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20250929000013 WI Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI
O20251002002678 VT Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, VT
O20251017004263 CO Part B Supplier - Clinic/Group Practice 4284538778 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 259)

1700 Park St
Ste 200
Alameda, CA 94501
Phone (510) 521-5900

2418 Central Ave
Alameda, CA 94501
Phone (510) 519-8066

1303 N Euclid St
Anaheim, CA 92801
Phone (714) 778-3838

3741 Sunset Ln
Antioch, CA 94509
Phone (510) 706-7100

4053 Lone Tree Way
#101
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 200
Antioch, CA 94531
Phone (925) 756-3400

26 Rancho del Mar
Aptos, CA 95003
Phone (831) 531-4246

2450 Ashby Ave
Rm 3040
Berkeley, CA 94705
Phone (510) 204-3977

3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 204-5600

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

350 John Muir Pkwy
Ste 175
Brentwood, CA 94513
Phone (925) 776-7725

1501 Trousdale Dr
#4
Burlingame, CA 94010

1501 Trousdale Dr
#B
Burlingame, CA 94010

1501 Trousdale Dr
Bldg B5F
Burlingame, CA 94010

1501 Trousdale Dr
Fl 4
Burlingame, CA 94010
Phone (650) 652-8350

1501 Trousdale Dr
Fl 5
Burlingame, CA 94010
Phone (650) 652-8787

1501 Trousdale Dr
Ste 125
Burlingame, CA 94010

1501 Trousdale Dr
Ste 215
Burlingame, CA 94010
Phone (415) 600-6388

1501 Trousdale Dr
Unit 425
Burlingame, CA 94010

1502 Trousdale Dr
Burlingame, CA 94010

1502 Trousdale Dr Ste 170
Burlingame, CA 94010

1720 El Camino Real
Ste 116
Burlingame, CA 94010
Phone (650) 652-8310

1720 El Camino Real
Ste 155
Burlingame, CA 94010
Phone (650) 342-6506

1720 Marco Polo Way
Ste A
Burlingame, CA 94010
Phone (650) 268-5260

1721 El Camino Real Ste 130
Burlingame, CA 94010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 5,346

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 5,346

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1013950807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012302",
            "telephone_number": "650-321-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SR. DIRECTOR, PLANNING AND ALIGNMEN",
        "authorized_official_telephone_number": "650-934-7000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Alto Medial Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.