NPIMap

Organization Active NPI

Sutter Bay Hospitals

  • General Acute Care Hospital
  • Santa Rosa, CA
National Provider Identifier
1740413798
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110000005 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Practice address
30 Mark West Springs Road
Santa Rosa, CA 95403-1707
Phone
(707) 576-4331
Fax
(707) 576-4318
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 110000005 CA Primary
General Acute Care Hospital 282N00000X CA

Addresses

Primary practice location

30 Mark West Springs Road
Santa Rosa, CA 95403-1707

Mailing address

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone (415) 600-7735

Other identifiers 4

IdentifierTypeStateIssuer
HSP40291GMedicaidCA
032556OtherCAVACCINES FOR CHILDREN
D876OtherCAPRESUMPTIVE ELIGIBILITY
ZZR00291GMedicaidCA

Other names 1

  • 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
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20091027000662 CA Part A Provider - Hospital 3476506528 Practice locations: Santa Rosa, CA

Hospital certification: CCN 050291

Legal name
SUTTER BAY HOSPITALS
Doing business as
SUTTER SANTA ROSA REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 16, 2026
Beds
170
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2010 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Main/Primary Hospital Location
Hospital subgroups
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

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
Sutter Santa Rosa Regional HospitalCCN 050291
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0611473Sutter Santa Rosa Regional Hospital30 Mark West Springs Rd, Santa Rosa, CA 95403AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

2415 High School Ave
Ste 300
Concord, CA 94520
Phone (925) 676-8101

6550 Front St
Forestville, CA 95436
Phone (707) 887-0290

1510 E Herndon Ave
Ste 210
Fresno, CA 93720
Phone (559) 450-2274

100A Drakes Landing Rd
Ste 225
Greenbrae, CA 94904
Phone (415) 924-1214

3 Medical Plaza Dr
Ste 130
Roseville, CA 95661
Phone (916) 773-8750

4625 Quigg Dr
Santa Rosa, CA 95409
Phone (707) 361-7291

1111 Sonoma Ave
Ste 202
Santa Rosa, CA 95405
Phone (707) 527-9517

1140 Sonoma Ave
Bldg 2
Santa Rosa, CA 95405

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

130 Stony Point Rd
Santa Rosa, CA 95401
Phone (707) 338-5927

392 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 623-9803

2281 Cleveland Ave
Santa Rosa, CA 95403
Phone (707) 544-3337

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

3815 Airway Dr
Santa Rosa, CA 95403
Phone (707) 573-5261

4739 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 528-4239

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 Jan 1, 2010
Janet Garufis Individual Corporate DirectorBoard Member Jan 1, 2025
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 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 Jan 1, 2010 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 446

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 446

Affiliated clinicians 514

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

View all 514

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1740413798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARK WEST SPRINGS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031436",
            "telephone_number": "415-600-7735",
            "fax_number": "415-600-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARK WEST SPRINGS ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031707",
            "telephone_number": "707-576-4331",
            "fax_number": "707-576-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "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": "110000005",
            "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": "HSP40291G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VACCINES FOR CHILDREN",
            "identifier": "032556",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESUMPTIVE ELIGIBILITY",
            "identifier": "D876",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00291G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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 Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.