NPIMap

Organization Active NPI

Sutter Bay Hospitals

Doing business as Mills-Peninsula Medical Center

  • General Acute Care Hospital
  • Burlingame, CA
National Provider Identifier
1043670334
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
220000037 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Doing business as
Mills-Peninsula Medical Center
Sutter Mills Peninsula Medical Center, Burlingame Campus
Practice address
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone
(650) 696-5400
NPI assigned
Feb 29, 2016
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
John B. Gates
Title
Cfo
Phone
(510) 450-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 220000037 CA Primary

Addresses

Primary practice location

1501 Trousdale Dr
Burlingame, CA 94010-4506

Mailing address

PO Box 742738
Los Angeles, CA 90074-2738

Other identifiers 2

IdentifierTypeStateIssuer
HSP 54494OtherCABOARD OF PHARMACY
220000037OtherCAGENERAL ACUTE CARE HOSPITAL LICENSE

Other names 2

  • Mills-Peninsula Medical Center Doing business as
  • SUTTER MILLS PENINSULA MEDICAL CENTER, BURLINGAME CAMPUS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050517000547 CA Part B Supplier - Clinic/Group Practice 3476506528 Receives reassigned benefits from 144 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20160616002071 CA Part A Provider - Hospital 3476506528 1 other NPI on this enrollment
Practice locations: Burlingame, CA; San Mateo, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043670334. Details of each certification follow.

Hospital certification: CCN 050007

Legal name
SUTTER BAY HOSPITALS
Doing business as
MILLS-PENINSULA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 21, 2025
Beds
301
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
1501 Trousdale Dr
Burlingame, CA 94010-4506
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 13

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

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Peninsula Medical CenterCCN 050007 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0591083Sutter Bay Hospitals1501 Trousdale Drive, Burlingame, CA 94010AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Miller Archibald Et Al62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1501 Trousdale Dr
Ste 170
Burlingame, CA 94010

1860 El Camino Real
Ste 105
Burlingame, CA 94010

1860 El Camino Real
Ste 401
Burlingame, CA 94010
Phone (650) 991-3444

25 Edwards Ct
Ste 101
Burlingame, CA 94010
Phone (415) 596-1151

25 Edwards Ct
Ste 105
Burlingame, CA 94010
Phone (650) 342-1966

1850 Sullivan Ave
Ste 520
Daly City, CA 94015
Phone (415) 756-5000

575 Kelly St
Half Moon Bay, CA 94019
Phone (650) 288-0508

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

1300 N Vermont Ave
#600
Los Angeles, CA 90027
Phone (213) 484-8446

101 Rowland Way
Ste 240
Novato, CA 94945
Phone (415) 461-9000

2356 Sutter St
#4
San Francisco, CA 94115

2645 Ocean Ave
Ste 207
San Francisco, CA 94132
Phone (415) 333-3302

45 Castro St
Ste 410
San Francisco, CA 94114
Phone (415) 565-6884

100 S Ellsworth Ave
San Mateo, CA 94401
Phone (650) 380-5695

101 S San Mateo Dr
San Mateo, CA 94401
Phone 65034463535238

101 S San Mateo Dr
Ste 200
San Mateo, CA 94401
Phone (650) 347-0200

101 S San Mateo Dr
Ste 307
San Mateo, CA 94401
Phone (650) 348-6011

280 Baldwin Ave
San Mateo, CA 94401
Phone (650) 344-1121

34 N San Mateo Dr
#2
San Mateo, CA 94401
Phone (650) 513-6651

50 S San Mateo Dr
Fl 3
San Mateo, CA 94401

1025 N Demaree St
Visalia, CA 93291
Phone (559) 931-0800

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raju Iyer Individual Corporate OfficerSVP, Cfo Jan 1, 2024
Jane C Varner Individual Corporate DirectorBoard Member Jan 1, 2019
Eric a Flowers Individual Corporate DirectorBoard Member May 21, 2015
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Theodore Deikel Individual Corporate DirectorBoard Member May 21, 2015
Ronesh Sinha Individual Corporate DirectorBoard Member May 21, 2015
John F Ryan Individual Corporate DirectorBoard Member May 21, 2015
Henry Yu Individual Corporate OfficerCfo Jun 9, 2023
W-2 Managing Employee Jun 9, 2023
Umesh V Padval Individual Corporate DirectorBoard Member Jan 1, 2019
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 8, 1996 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Lakeside HospitalLakeport, CA, CCN 051329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 056245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 503

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 503

Affiliated clinicians 1,155

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,155

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1043670334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742738",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TROUSDALE DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104506",
            "telephone_number": "650-696-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "220000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "HSP 54494",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL ACUTE CARE HOSPITAL LICENSE",
            "identifier": "220000037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills-Peninsula Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUTTER MILLS PENINSULA MEDICAL CENTER, BURLINGAME CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.