Sutter Bay Medical Foundation
Organization Active NPI Clinical Medical Laboratory · Santa Cruz, CA
NPI 1184348302 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1184348302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- SUTTER BAY MEDICAL FOUNDATION
- Practice address
- 2025 Soquel Ave
Santa Cruz, CA 95062-1323 - Phone
- (831) 458-5506
- NPI assigned
- Sep 30, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- SUTTER BAY MEDICAL FOUNDATION
Authorized official
- Name
- Kristin Keller
- Title
- Sr. Director, Planning and Alignmen
- Phone
- (650) 934-7000
Other NPIs on the same Medicare enrollment 11
Corporate family (same tax ID) 34
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0606752 | Palo Alto Medical Foundation | Compliance | Jan 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230104002395 | CA | Part B Supplier - Independent Clinical Laboratory | 4284538778 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mountain View, CA; Sunnyvale, CA; Santa Cruz, CA; Santa Clara, CA; San Jose, CA; San Carlos, CA; Palo Alto, CA; Dublin, CA… |
National Provider Directory
- Tax ID family
- Sutter Bay Medical Found
- Part of
- Sutter Bay Medical Found
Locations
2025 Soquel Ave
Santa Cruz, CA 95062
Phone (408) 423-4111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
2025 Soquel Ave
Santa Cruz, CA 95062-1323
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other names
- Palo Alto Medical Foundation
Other providers in Santa Cruz, CA
- James Sutherland
- Cody Sutphin
- Chelsey Suttaby
- Sutter Bay Hospitals
- Sutter Bay Medical Foundation
- Sutter Maternity and Surgery Center of Santa Cruz
- Sutter Santa Cruz Maternity and Surgery Center
- Sutter Visiting Nurse Association and Hospice
- Melinda Sutter
- Danette Sutton
All providers in Santa Cruz, CA · Clinical Medical Laboratory in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.