NPIMap

Organization Active NPI

Sutter Bay Hospitals

Doing business as Sutter Maternity & Surgery Center of Santa Cruz

  • General Acute Care Hospital
  • Santa Cruz, CA
National Provider Identifier
1689035628
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
070000399 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Doing business as
Sutter Maternity & Surgery Center of Santa Cruz
Practice address
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Phone
(831) 477-2210
NPI assigned
Mar 18, 2016
Last updated
Jan 20, 2022By the provider in NPPES
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 B. Gates
Title
Cfo
Phone
(510) 450-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 070000399 CA Primary

Addresses

Primary practice location

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816

Mailing address

2900 Chanticleer Ave
Santa Cruz, CA 95065-1816

Other identifiers 1

IdentifierTypeStateIssuer
070000399OtherCAGENERAL ACUTE CARE HOSPITAL LICENSE

Other names 1

  • Sutter Maternity & Surgery Center of Santa Cruz Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608001366 CA Part A Provider - Hospital 3476506528 Practice locations: Santa Cruz, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689035628. Details of each certification follow.

Hospital certification: CCN 050714

Legal name
SUTTER BAY HOSPITALS
Doing business as
SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 18, 1996
Last certification
May 16, 2025
Beds
30
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 1, 2016 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
Sutter Maternity & Surgery Center of Santa CruzCCN 050714 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Psychiatrist Clinic of62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2900 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2200

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 1, 1992 100%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Lakeside HospitalLakeport, CA, CCN 051329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 056245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 165

Affiliated clinicians 93

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

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1689035628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CHANTICLEER AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CHANTICLEER AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651816",
            "telephone_number": "831-477-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "070000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL ACUTE CARE HOSPITAL LICENSE",
            "identifier": "070000399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Maternity & Surgery Center of Santa Cruz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter Maternity & Surgery Center of Santa Cruz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.