NPIMap

Organization Active NPI

Sutter West Bay Hospitals

Doing business as California Pacific Medical Center

  • Skilled Nursing Facility
  • San Francisco, CA
National Provider Identifier
1215095419
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000197 Issued in CA
Legal business name
SUTTER WEST BAY HOSPITALS
Doing business as
California Pacific Medical Center
Practice address
45 Castro Street
San Francisco, CA 94114
Phone
(415) 600-7180
Fax
(415) 600-7185
NPI assigned
Dec 4, 2006
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Michael P Holdsworth
Title
Vice President of Administrations C
Phone
(415) 600-3959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000197 CA Primary

Addresses

Primary practice location

45 Castro Street
San Francisco, CA 94114

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
LTC06245GMedicaidCA

Other names 1

  • California Pacific Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miller Archibald Et Al62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

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": "1642636800000",
    "number": "1215095419",
    "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": "45 CASTRO STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "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": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "HOLDSWORTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMINISTRATIONS C",
        "authorized_official_telephone_number": "415-600-3959"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC06245G",
            "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.

Verify at the official NPI Registry.