Sutter West Bay Medical Foundation

Primary specialty

Hepatology PhysicianTaxonomy code 207RI0008X

Legal business name

SUTTER WEST BAY MEDICAL FOUNDATION

Practice address

1315 Alhambra Blvd
#210
Sacramento, CA 95816-5244

Phone

(916) 732-4380

Fax

(916) 739-0893

NPI assigned

May 14, 2009

Organization subpart

Yes

Parent organization

SUTTER WEST BAY MEDICAL FOUNDATIONAs reported in NPPES

Name

Mr. John Gates

Title

Rcfo

Phone

(415) 600-7755

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sutter West Bay Medical Foundation

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1104852789
  NPPES parent name

Part of

Sutter West Bay Med Found

• Sutter Pacific Medical Foundation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2013.

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1356575641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254947",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958654947",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD",
            "address_2": "#210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165244",
            "telephone_number": "916-732-4380",
            "fax_number": "916-739-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER WEST BAY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER WEST BAY MEDICAL FOUNDATION",
        "enumeration_date": "2009-05-14",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RCFO",
        "authorized_official_telephone_number": "415-600-7755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Pacific Medical Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Amanda Sutter
• Sarah Sutter, RD
• Fatema Sutton
• Jazmine Nicole Sutton
• Allison Suznovich, LCSW

• All providers in Sacramento, CA
• Hepatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.