Organization Active NPI

Sutter West Bay Hospitals

Doing business as California Pacific Medical Center

  • Psychiatric Hospital Unit
  • San Francisco, CA
National Provider Identifier
1104984392
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
220000197 Issued in CA
Legal business name
SUTTER WEST BAY HOSPITALS
Doing business as
California Pacific Medical Center
Practice address
2333 Buchanan Street
San Francisco, CA 94115
Phone
(415) 600-7180
Fax
(415) 600-7185
NPI assigned
Dec 4, 2006
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Michael P Holdsworth
Title
VP of Administrations Cfo
Phone
(415) 600-3959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 220000197 CA Primary

Addresses

Primary practice location

2333 Buchanan Street
San Francisco, CA 94115

Mailing address

PO Box 7999
San Francisco, CA 94115
Phone (415) 600-7180

Other identifiers 1

IdentifierTypeStateIssuer
HSM00047GMedicaidCA

Other names 1

  • California Pacific Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatrist Clinic of62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1104984392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7999",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-600-7180",
            "fax_number": "415-600-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BUCHANAN STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-600-7180",
            "fax_number": "415-600-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER WEST BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "HOLDSWORTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIONS CFO",
        "authorized_official_telephone_number": "415-600-3959"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "220000197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM00047G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pacific Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Pacific Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.