Sutter Bay Hospitals
Organization Active NPI Rehabilitation Hospital Unit · Oakland, CA
NPI 1194171371 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1194171371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- Legal business name
- SUTTER BAY HOSPITALS
- Practice address
- 350 Hawthorne Avenue
Oakland, CA 94609-3108 - Phone
- (510) 655-4000
- Fax
- (510) 869-6198
- NPI assigned
- May 6, 2016
- Organization subpart
- No
Authorized official
- Name
- John B. Gates
- Title
- Cfo
- Phone
- (510) 450-7357
Owners & managing parties with NPI records 2
-
Ronesh Sinha, MD
-
Jane Varner, MD
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 12
Other NPIs with the same Medicare PAC ID 22
Corporate family (same tax ID) 24
Related certifications (CCN) 1
Facilities with the same owner 59
Practitioners 713
-
Donovan C Bland, MD
-
Daniel Adam Brenner, MD / PHD
-
Kimberly Ann Cirella, CNM, WHNP
-
Elyse Midori Donald, M.D.
-
Nabil Elkhoury, M.D.
-
Jayla Flaum, PA-C
-
Milcah Wanjiku Gichuru, FNP-BC
-
Amita Kachru, M.D.
-
Michelle Denise Marieni, M.D.
-
Matthew McQuaid, DPM
-
Erika Grace Sawyer, ERIKA SAWYER
-
Wayne H Scheidemann, M.D.
Affiliated clinicians 8
-
Allison Nuovo Capizzi, M.D.
-
Shirley CHI, M.D.
-
Deepak Dhawan, MD
-
Richard Hong, M.D.
-
Henry Koh, MD
-
Kaidong Wang, M.D.
-
Kimberly Washington, M.D., D.C.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Alta Bates Summit Medical Center
- Ownership
- Non-profit
- Certified
- Jan 1, 2015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 05T043
- Legal name
- SUTTER BAY HOSPITALS
- Doing business as
- ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 9, 1885 in CA
- Enrollment address
- 350 Hawthorne Ave
Oakland, CA 94609-3108 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Jane C Varner |
Corporate Director |
Jan 1, 2019 | |
| Eric a Flowers |
Corporate Director |
May 20, 2015 | |
| Jill M Kacher Cobb |
Corporate Director |
Jan 1, 2019 | |
| Theodore Deikel |
Corporate Director |
May 21, 2015 | |
| Ronesh Sinha |
Corporate Director |
May 21, 2015 | |
| John F Ryan |
Corporate Director |
May 21, 2015 | |
| Henry Yu |
Corporate Officer |
Jun 9, 2023 | |
| W-2 Managing Employee | Jun 9, 2023 | ||
| Umesh V Padval |
Corporate Director |
Jan 1, 2019 | |
| Sutter Health |
5% Or Greater Indirect Ownership Interest | Dec 27, 1999 | 100% |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Sutter Lakeside Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2010 |
| California Pacific Medical Center - Davies Campus |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20171214002351 | CA | Part a Provider - Hospital | 3476506528 | Practice locations: Oakland, CA |
National Provider Directory
- Tax ID family
- Psychiatrist Clinic of
Locations (25 of 80)
985 Atlantic Ave
Ste 300
Alameda, CA 94501
Phone (510) 748-5363
1332 Park St
Ste 202
Alameda, CA 94501
Phone (510) 523-3417
2001 Dwight Way
Ste 2182
Berkeley, CA 94704
Phone (510) 204-6550
1936 University Ave
Ste 112
Berkeley, CA 94704
Phone (510) 488-6767
3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500
350 John Muir Pkwy
Ste 140
Brentwood, CA 94513
Phone (925) 513-2483
1181 Central Blvd
Ste B
Brentwood, CA 94513
Phone (888) 530-3034
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
4000 Dublin Blvd
Ste 300
Dublin, CA 94568
Phone (925) 875-0700
1480 64th St
Ste 100
Emeryville, CA 94608
Phone (415) 565-6684
1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000
5855 Doyle St
Ste 110
Emeryville, CA 94608
Phone (510) 529-3800
1860 Mowry Ave
Ste 308
Fremont, CA 94538
Phone (510) 796-6500
3717 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-5300
520 S Virgil Ave
Ste 106
Los Angeles, CA 90020
Phone (213) 234-5575
100 Rowland Way
Ste 310
Novato, CA 94945
Phone (415) 209-1460
3100 Summit St
Ste 2447A
Oakland, CA 94609
Phone (510) 869-8451
3012 Summit St
Ste 2600
Oakland, CA 94609
Phone (510) 869-8972
3011 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-4379
494 Hawthorne Ave
#B
Oakland, CA 94609
Phone (510) 451-0996
373 9th St
Ste 403
Oakland, CA 94607
Phone (510) 465-3588
80 Grand Ave
Ste 700
Oakland, CA 94612
Phone (510) 893-4318
3300 Webster St
Ste 1105
Oakland, CA 94609
Phone (510) 208-5400
1 Country Club Plz
Orinda, CA 94563
Phone (925) 254-3805
1091 N Palm Canyon Dr
#6
Palm Springs, CA 92262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Yes |
Addresses
Primary practice location
350 Hawthorne Avenue
Oakland, CA 94609-3108
Mailing address
2000 Powell St
10TH Floor
Emeryville, CA 94608-1804
Phone (510) 450-7347
Other names
- Alta Bates Summit Medical Center - Summit Campus
Other providers in Oakland, CA
- Iriani Sutanto-Dang
- Christopher Graham Suter
- Kyle Sutherland
- Kristin Sutliff
- Jasmin Sutorius
- Sutter Bay Hospitals
- Sutter Bay Hospitals
- Sutter Bay Hospitals
- Sutter Community Health
- Sutter East Bay Hospitals
All providers in Oakland, CA · Rehabilitation Hospital Unit in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.