NPIMap

Organization Active NPI

Sutter Bay Hospitals

Doing business as Eden Medical Center

  • General Acute Care Hospital
  • Castro Valley, CA
National Provider Identifier
1063812907
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUTTER BAY HOSPITALS
Doing business as
Eden Medical Center
Sutter Eden Medical Center
Practice address
20103 Lake Chabot Road
Castro Valley, CA 94546-5305
Phone
(510) 537-1234
Fax
(510) 889-6506
NPI assigned
Aug 28, 2014
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUTTER HEALTHAs reported in NPPES

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
Chief Financial Officer
Phone
(415) 600-7755

Specialties & licenses 1

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

Addresses

Primary practice location

20103 Lake Chabot Road
Castro Valley, CA 94546-5305

Mailing address

PO Box 619092
Roseville, CA 95661-9092
Phone (916) 297-8200

Other identifiers 2

IdentifierTypeStateIssuer
140000030OtherCAGENERAL ACUTE CARE HOSPITAL LICENSE
05-0488OtherCAMEDICARE PROVIDER NUMBER

Other names 2

  • Eden Medical Center Doing business as
  • SUTTER EDEN MEDICAL CENTER 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…
O20160504001283 CA Part A Provider - Hospital 3476506528 Practice locations: Castro Valley, CA; San Leandro, CA; Dublin, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063812907. Details of each certification follow.

Hospital certification: CCN 050488

Legal name
SUTTER BAY HOSPITALS
Doing business as
SUTTER EDEN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 22, 1991
Beds
155
Ownership / control type
Other
Most recent change of ownership
Jun 1, 2016 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
20103 Lake Chabot Road
Castro Valley, CA 94546-5305
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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 12

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Eden Medical CenterCCN 050488 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Sutter Health Shared Laboratory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Yvonne Richardson Individual Corporate DirectorBoard Member Jan 1, 2025
Todd C Smith Individual Corporate DirectorBoard Member Jan 1, 2025
Gregory Brown Individual Corporate DirectorBoard Member Jan 1, 2025
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Arnold Schaffer Individual Corporate DirectorBoard Member Jan 1, 2025
Theodore Deikel Individual Corporate DirectorBoard Member May 21, 2015
Janet Garufis Individual Corporate DirectorBoard Member Jan 1, 2025
Rita Ophelia Kwan-Feinberg Individual Corporate DirectorBoard Member Jan 1, 2025
Susan McCabe Individual Corporate DirectorSenior Director Jul 14, 2025
Juli Maxworthy Individual Corporate DirectorBoard Member Jan 1, 2025
Heidi J Schmidt Individual Corporate DirectorBoard Member Jan 1, 2025
Thomas Briody Individual Corporate DirectorBoard Member Jan 1, 2025
William L Brunetti Individual Corporate DirectorBoard Member Jan 1, 2025
Jeffrey T Strawn Individual Corporate DirectorBoard Member Jan 1, 2025
Yumi Nakagawa Individual Corporate DirectorBoard Member Jan 1, 2025
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
Jonathan Ma Individual Corporate OfficerCfo Jan 1, 2025 100%
W-2 Managing EmployeeCfo Jan 1, 2025 20%
Aditi H Patel Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 4

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 3

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.

Affiliated clinicians 547

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

View all 547

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1063812907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619092",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619092",
            "telephone_number": "916-297-8200",
            "fax_number": "916-736-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20103 LAKE CHABOT ROAD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-537-1234",
            "fax_number": "510-889-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER HEALTH",
        "enumeration_date": "2014-08-28",
        "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": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "415-600-7755"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL ACUTE CARE HOSPITAL LICENSE",
            "identifier": "140000030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "05-0488",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUTTER EDEN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.