Active NPI
Sutter West Bay Hospitals
- Skilled Nursing Facility
- San Francisco, CA
National Provider Identifier
1154497824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 220000197
- Legal business name
- SUTTER WEST BAY HOSPITALS
- Practice address
- 3773 Sacramento Street
San Francisco, CA 94118 - Phone
- (415) 600-7180
- Fax
- (415) 600-7776
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Gates
- Title
- Cfo Shba
- Phone
- (510) 450-7357
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 220000197 | CA | Primary |
| Skilled Nursing Facility | 314000000X | CA |
Addresses
Primary practice location
3773 Sacramento Street
San Francisco, CA 94118
Mailing address
PO Box 742412
Los Angeles, CA 90074-2412
Phone (855) 398-1633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC55197F | Medicaid | CA |
Other names 1
- California Pacific Medical Center
National Provider Directory
National Provider DirectoryLocations
3773 Sacramento St
San Francisco, CA 94118
Phone (415) 600-7180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642636800000",
"number": "1154497824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742412",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900742412",
"telephone_number": "855-398-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 SACRAMENTO STREET",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94118",
"telephone_number": "415-600-7180",
"fax_number": "415-600-7776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER WEST BAY HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO SHBA",
"authorized_official_telephone_number": "510-450-7357"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "220000197",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC55197F",
"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 20, 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.