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Sutter Bay Medical Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Fremont, CA

NPI 1558090407 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1558090407
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SUTTER BAY MEDICAL FOUNDATION
Practice address
39650 Liberty St
Fremont, CA 94538-2223
Phone
(510) 498-3900
NPI assigned
Jun 7, 2022
Organization subpart
Yes
Parent organization (as reported)
SUTTER BAY MEDICAL FOUNDATION

Authorized official

Name
Kristin Keller
Title
Sr. Director, Planning and Alignmen
Phone
(650) 934-7000

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners 3,783

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,783

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2300204Palo Alto Medical Foundation - Liberty
39650 Liberty Street, Fremont, CA 94538		Certificate of waiverMar 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240223002332 CA DME Supplier - Independently-Practicing Occupational Therapist 4284538778 Practice locations: Fremont, CA

National Provider Directory

Tax ID family
Sutter Bay Medical Found (35 organizations share this tax ID)
Part of
Sutter Bay Medical Found

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

39650 Liberty St
Fremont, CA 94538-2223

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other names

  • Palo Alto Medical Foundation Doing business as

Other providers in Fremont, CA

All providers in Fremont, CA · Durable Medical Equipment & Medical Supplies in California

Sources for this page

Verify at the official NPI Registry.