Sutter Bay Medical Foundation

Organization Active NPI Ambulatory Surgical Clinic/Center · Palo Alto, CA

NPI 1104067115 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1104067115
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
SUTTER BAY MEDICAL FOUNDATION
Practice address
795 El Camino Real
Palo Alto, CA 94301-2302
Phone
(650) 853-1832
NPI assigned
Mar 20, 2009
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 15

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

Practitioners 3,890

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,890

Medicare Care Compare: Ambulatory surgical center

Listed as
Surgecenter of Palo Alto CCN 05C0001092
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090501000456 CA Part B Supplier - Ambulatory Surgical Center 4284538778 Receives reassigned benefits from 495 practitioners
2 other NPIs on this enrollment
Practice locations: Palo Alto, CA; San Carlos, CA; San Jose, CA

National Provider Directory

Locations

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Ste Lvl
Palo Alto, CA 94301

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Yes

Addresses

Primary practice location

795 El Camino Real
Palo Alto, CA 94301-2302

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other names

  • Palo Alto Medical Foundation Doing business as
  • Palo Alto Medical Foundation for Health Care, Research & Education Former legal business name

Other providers in Palo Alto, CA

All providers in Palo Alto, CA · Ambulatory Surgical Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.