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
Last updated
Apr 15, 2021By the provider in NPPES
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 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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740413798. Details of each certification follow.

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 · All quality measures
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

1501 Trousdale Dr
Fl 2
Burlingame, CA 94010
Phone (650) 652-8310

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

16387 First St
Guerneville, CA 95446
Phone (707) 326-1452

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

5900 State Farm Dr
Fl 2
Rohnert Park, CA 94928
Phone (707) 559-7600

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 576-4392

1031 Avenida Pico
San Clemente, CA 92673
Phone (949) 366-3362

1111 Sonoma Ave
Ste 106
Santa Rosa, CA 95405
Phone (707) 576-0366

1140 Sonoma Ave
Bldg 2
Santa Rosa, CA 95405

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

3867 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-3780

500 Doyle Park Dr
Ste 303
Santa Rosa, CA 95405
Phone (707) 303-8300

990 Sonoma Ave
Ste 3
Santa Rosa, CA 95404
Phone (707) 225-3535

19270 Highway 12
Sonoma, CA 95476
Phone (707) 939-6070

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, and the practitioner matching its NPPES authorized official.

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": [],
    "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.