Active NPI
Kathryn Florence Sutter, MD
- Hospitalist Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A97193
- Practice address
- 795 El Camino Real
Palo Alto, CA 94301-2302 - Phone
- (650) 853-2992
- NPI assigned
- Aug 12, 2006
- Last updated
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A97193 | CA | |
| Pediatrics Physician | 208000000X | 48220 | MN | |
| Hospitalist Physician | 208M00000X | A97193 | CA | Primary |
Addresses
Primary practice location
795 El Camino Real
Palo Alto, CA 94301-2302
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 853-2992
Other practice location 1
2516 Stockton Blvd Ste 341
Sacramento, CA 95817-2208
Phone (916) 734-2144
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784680100 | Medicaid | MN | |
| 2407954 | Other | MN | AMERICA'S PPO |
| 071H6SU | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 6609231 | Other | MN | MEDICA HEALTH PLANS |
| HP58526 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97193 | CA | MD | Pediatrics Physician |
| 48220 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Pediatrics | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Pediatrics
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1700898491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "650-853-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 EL CAMINO REAL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012302",
"telephone_number": "650-853-2992"
}
],
"practiceLocations": [
{
"address_1": "2516 Stockton Blvd Ste 341",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172208",
"country_code": "US",
"telephone_number": "916-734-2144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTER",
"first_name": "KATHRYN",
"middle_name": "FLORENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A97193",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "48220",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A97193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "784680100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2407954",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "071H6SU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH PLANS",
"identifier": "6609231",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP58526",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Sutter Bay Medical Foundation (Palo Alto Medical Foundation)
- Julia Carole Sutton, RD
- Katherine Sutton, PH.D.
- Jacob Svenson, MD
- Mia Maclean Swan, NP
- Marc A Swanson, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.