Sutter Bay Medical Foundation
Organization Active NPI Family Medicine Physician · Santa Rosa, CA
NPI 1528512688 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1528512688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SUTTER BAY MEDICAL FOUNDATION
- Practice address
- 3883 Airway Dr
Suite 120
Santa Rosa, CA 95403-1670 - Phone
- (707) 521-8966
- Fax
- (707) 523-1301
- NPI assigned
- Aug 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Kristin Keller
- Title
- Sr. Director, Planning and Alignmen
- Phone
- (650) 934-7000
Corporate family (same tax ID) 34
National Provider Directory
- Tax ID family
- Sutter Bay Medical Found
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Pediatrics Physician |
208000000X | |||
| Surgery Physician |
208600000X | |||
| General Practice Physician |
208D00000X | |||
| Podiatrist |
213E00000X | |||
| Physical Therapist |
225100000X | |||
| Radiologic Technologist |
247100000X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
3883 Airway Dr
Suite 120
Santa Rosa, CA 95403-1670
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other names
- Sutter Pacific Medical Foundation
Other providers in Santa Rosa, CA
- Surgical Neuromonitoring Service Inc
- Vikki Suzanne Sutherland
- Laura Sutliff
- Sutter Bay Hospitals
- Sutter Bay Medical Foundation
- Sutter Medical Center of Santa Rosa
- Sutter Medical Center of Santa Rosa
- Sutter Medical Center of Santa Rosa Tcu
- Sutter Medical Foundation
- Sutter Medical Foundation North Bay
All providers in Santa Rosa, CA · Family Medicine Physician 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.