NPIMap

Organization Active NPI

Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
National Provider Identifier
1740348929
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
220000197 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Practice address
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone
(415) 600-7180
Fax
(415) 600-7776
NPI assigned
Dec 4, 2006
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 220000197 CA Primary
General Acute Care Hospital 282N00000X CA

Addresses

Primary practice location

1101 Van Ness Ave
San Francisco, CA 94109-6919

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HSC00047GMedicaidCA

Other names 1

  • California Pacific Medical Center Other 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…
O20071227000599 CA Part A Provider - Hospital 3476506528 Practice locations: San Francisco, CA; Novato, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740348929. Details of each certification follow.

Hospital certification: CCN 050047

Legal name
SUTTER BAY HOSPITALS
Doing business as
CALIFORNIA PACIFIC MEDICAL CENTER-VAN NESS CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 21, 2025
Beds
608 (480 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
2351 Clay St
Ste 141
San Francisco, CA 94115-1931
Hospital subgroups
General

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- Van Ness CampusCCN 050047 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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 23

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

View all 23

Locations

1101 Van Ness Ave
#140
San Francisco, CA 94109

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 Aug 4, 2021
Todd C Smith Individual Corporate DirectorBoard Member Jun 12, 2023
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, 2024
Theodore Deikel Individual Corporate DirectorBoard Member May 21, 2015
Janet Garufis Individual Corporate DirectorBoard Member Jan 1, 2024
Rita Ophelia Kwan-Feinberg Individual Corporate DirectorBoard Member Jan 1, 2025
Susan McCabe Individual Corporate DirectorSenior Director Jul 14, 2025
Juli Maxworthy Individual Corporate DirectorBoard Member Aug 4, 2021
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 Feb 8, 2023
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, 2021
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 8, 1996
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 17

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 17

Affiliated clinicians 1,185

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

View all 1,185

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1740348929",
    "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",
            "fax_number": "415-600-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-7180",
            "fax_number": "415-600-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "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": "220000197",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00047G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pacific Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.