NPIMap

Organization Active NPI

Sutter Bay Hospitals

  • General Acute Care Hospital
  • Menlo Park, CA
National Provider Identifier
1295199701
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUTTER BAY HOSPITALS
Practice address
570 Willow Rd
Menlo Park, CA 94025-2617
Phone
(650) 324-8500
Fax
(650) 324-9404
NPI assigned
Apr 11, 2016
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
John Gates
Title
Cfo
Phone
(510) 450-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

570 Willow Rd
Menlo Park, CA 94025-2617

Mailing address

2000 Powell St
10TH Floor
Emeryville, CA 94608-1804
Phone (510) 450-7347

Other identifiers 1

IdentifierTypeStateIssuer
220000276OtherCAGENERAL ACUTE CARE HOSPITAL LICENSE

Other names 1

  • Menlo Park Surgical Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160616002071 CA Part A Provider - Hospital 3476506528 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlingame, CA; San Mateo, CA

Hospital certification: CCN 050007

Legal name
SUTTER BAY HOSPITALS
Doing business as
MILLS-PENINSULA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 21, 2025
Beds
301
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
1501 Trousdale Dr
Burlingame, CA 94010-4506
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Peninsula Medical CenterCCN 050007
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raju Iyer Individual Corporate OfficerSVP, Cfo Jan 1, 2024
Jane C Varner Individual Corporate DirectorBoard Member Jan 1, 2019
Eric a Flowers Individual Corporate DirectorBoard Member May 21, 2015
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Theodore Deikel Individual Corporate DirectorBoard Member May 21, 2015
Ronesh Sinha Individual Corporate DirectorBoard Member May 21, 2015
John F Ryan Individual Corporate DirectorBoard Member May 21, 2015
Henry Yu Individual Corporate OfficerCfo Jun 9, 2023
W-2 Managing Employee Jun 9, 2023
Umesh V Padval Individual Corporate DirectorBoard Member Jan 1, 2019
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 8, 1996 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,155

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,155

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1295199701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 POWELL ST",
            "address_2": "10TH FLOOR",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081804",
            "telephone_number": "510-450-7347",
            "fax_number": "510-450-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252617",
            "telephone_number": "650-324-8500",
            "fax_number": "650-324-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "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",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL ACUTE CARE HOSPITAL LICENSE",
            "identifier": "220000276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menlo Park Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Menlo Park Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.