NPIMap

Organization Active NPI

Sutter Bay Hospitals

Doing business as California Pacific Medical Center - Mission Bernal Campus

  • General Acute Care Hospital
  • San Francisco, CA
National Provider Identifier
1730238007
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
220000070 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Doing business as
California Pacific Medical Center - Mission Bernal Campus
Practice address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone
(415) 600-7180
Fax
(415) 600-7776
NPI assigned
Jan 9, 2007
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CA
General Acute Care Hospital 282N00000X 220000070 CA Primary
Long Term Care Hospital 282E00000X 220000070 CA
Long Term Care Hospital 282E00000X CA

Addresses

Primary practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Mailing address

PO Box 742412
Los Angeles, CA 90074-2412
Phone (855) 398-1633

Other identifiers 9

IdentifierTypeStateIssuer
HSC00055GMedicaidCA
HSC000055GMedicaidCA
LTC70042FMedicaidCA
HSC00055FMedicaidCA
HSP40055GMedicaidCA
LTC55243GMedicaidCA
ZZR00055FMedicaidCA
HSP40055FMedicaidCA
LTC55243FMedicaidCA

Other names 2

  • California Pacific Medical Center - Mission Bernal Campus Doing business as
  • Sutter West Bay Hospitals Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050517000547 CA Part B Supplier - Clinic/Group Practice 3476506528 Receives reassigned benefits from 144 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20070124000350 CA Part A Provider - Hospital 3476506528 Practice locations: San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730238007. Details of each certification follow.

Hospital certification: CCN 050055

Legal name
SUTTER BAY HOSPITALS
Doing business as
CALIFORNIA PACIFIC MEDICAL CENTER-MISSION BERNAL CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 10, 2025
Beds
120
Ownership / control type
Church
Most recent change of ownership
Jan 1, 2007 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Long-term, Short-term

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

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
California Pacific Medical Center - Mission BernalCCN 050055 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1750 El Camino Real
#150
Burlingame, CA 94010

1860 El Camino Real
Ste 200
Burlingame, CA 94010
Phone (650) 582-3729

1237 B St
Hayward, CA 94541
Phone (510) 886-3937

24401 Health Center Dr
Ste 300
Laguna Hills, CA 92653
Phone (949) 770-4115

5730 Telegraph Ave
Ste 117
Oakland, CA 94609
Phone (510) 204-1507

1000 Welch Rd
Palo Alto, CA 94304
Phone (650) 498-9868

300 Neal St
Pleasanton, CA 94566
Phone (925) 462-2400

1 Daniel Burnham Ct
Ste 260C
San Francisco, CA 94109
Phone (415) 502-5099

1 Shrader St
Ste 507
San Francisco, CA 94117

1100 Van Ness Ave
Ste 1005
San Francisco, CA 94109
Phone (415) 923-3421

1580 Valencia St
Fl 3
San Francisco, CA 94110

1580 Valencia St
Ste 208
San Francisco, CA 94110
Phone (415) 695-7661

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

3490 California St
Ste 201
San Francisco, CA 94118
Phone (415) 440-2972

3838 California St
Fl 3
San Francisco, CA 94118
Phone (773) 543-0603

3838 California St
Rm 616
San Francisco, CA 94118
Phone (415) 668-0411

45 Castro St
Ste 220
San Francisco, CA 94114
Phone (415) 600-5555

45 Castro St
Ste 402
San Francisco, CA 94114
Phone (415) 241-5601

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

525 Spruce St
Ste 3
San Francisco, CA 94118
Phone (415) 668-8900

3452 Mendocino Ave
Ste A
Santa Rosa, CA 95403

161 S Spruce Ave
Ste 201
South San Francisco, CA 94080

100 N Wiget Ln
Ste 150
Walnut Creek, CA 94598
Phone (855) 420-2612

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yvonne Richardson Individual Corporate DirectorBoard Member Jan 1, 2025
Todd C Smith Individual Corporate DirectorBoard Member Jan 1, 2025
Gregory Brown Individual Corporate DirectorBoard Member Jan 1, 2025
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Arnold Schaffer Individual Corporate DirectorBoard Member Jan 1, 2025
Theodore Deikel Individual Corporate DirectorBoard Member Aug 5, 2009
Janet Garufis Individual Corporate DirectorBoard Member Jan 1, 2025
Rita Ophelia Kwan-Feinberg Individual Corporate DirectorBoard Member Jan 1, 2025
Susan McCabe Individual Corporate DirectorBoard Member Jan 1, 2025
Juli Maxworthy Individual Corporate DirectorBoard Member Jan 1, 2025
Henry Yu Individual Corporate OfficerCfo Jun 9, 2023
W-2 Managing Employee Jun 9, 2023
Heidi J Schmidt Individual Corporate DirectorBoard Member Jan 1, 2025
Thomas Briody Individual Corporate DirectorBoard Member Jan 1, 2025
William L Brunetti Individual Corporate DirectorBoard Member Jan 1, 2025
Jeffrey T Strawn Individual Corporate DirectorBoard Member Jan 1, 2025
Yumi Nakagawa Individual Corporate DirectorBoard Member Jan 1, 2025
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 17, 2001 100%
Aditi H Patel Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 4

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 617

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 617

Affiliated clinicians 544

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

View all 544

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1730238007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742412",
            "telephone_number": "855-398-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CESAR CHAVEZ",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104403",
            "telephone_number": "415-600-7180",
            "fax_number": "415-600-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "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": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "220000070",
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": "220000070",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00055G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC000055G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70042F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00055F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40055G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55243G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00055F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40055F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55243F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pacific Medical Center - Mission Bernal Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sutter West Bay Hospitals",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sutter West Bay Hospitals",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.