Sutter Bay Medical Foundation
Organization Active NPI Clinical Medical Laboratory · Mountain View, CA
NPI 1639893191 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1639893191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- SUTTER BAY MEDICAL FOUNDATION
- Practice address
- 701 E El Camino Real
Mountain View, CA 94040-2833 - Phone
- (650) 934-7333
- NPI assigned
- Sep 28, 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 on the same Medicare enrollment 11
Corporate family (same tax ID) 34
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1067205 | Palo Alto Medical Foundation for Health, | Registration | Mar 2, 2028 |
| 05D2054792 | Palo Alto Medical Foundation | Provider-performed microscopy | Feb 26, 2027 |
| 05D2174613 | Palo Alto Medical Foundation- | Compliance | May 31, 2026 |
| 05D2201110 | Palo Alto Medical Foundation | Provider-performed microscopy | Nov 17, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230104002395 | CA | Part B Supplier - Independent Clinical Laboratory | 4284538778 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mountain View, CA; Sunnyvale, CA; Santa Cruz, CA; Santa Clara, CA; San Jose, CA; San Carlos, CA; Palo Alto, CA; Dublin, CA… |
National Provider Directory
- Tax ID family
- Sutter Bay Medical Found
- Part of
- Sutter Bay Medical Found
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
701 E El Camino Real
Mountain View, CA 94040-2833
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Other names
- Palo Alto Medical Foundation
Other providers in Mountain View, CA
- Yogaalakshmi Sundararajan
- Alison Superko
- Madhurima Suribhatla
- Katherine K Sutherland
- Sutter Bay Medical Foundation
- Sutter Bay Medical Foundation
- Wendy Wong Suzuki
- Dylaina Swan
- Ellen Szeto
- Julia Ibette Tabarez
All providers in Mountain View, CA · Clinical Medical Laboratory 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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.