Active NPI
Michael S. Sutro, M. D.
- Orthopaedic Surgery Physician
- San Francisco, CA
National Provider Identifier
1780620401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G35951
- Practice address
- 2100 Webster St
Suite 518
San Francisco, CA 94115-2373 - Phone
- (415) 600-7840
- Fax
- (415) 600-7845
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G35951 | CA | Primary |
Addresses
Primary practice location
2100 Webster St
Suite 518
San Francisco, CA 94115-2373
Mailing address
PO Box 60000
File #74451
San Francisco, CA 94160-0001
Phone (415) 600-7840
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G359510 | Medicaid | CA | |
| 00G359510 | Other | CA | BLUE CROSS & BLUE SHIELD |
| 362152800 | Other | CA | WORKERS COMP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35951 | CA | MD | Pharmacist |
| G35951 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1780620401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000",
"address_2": "FILE #74451",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941600001",
"telephone_number": "415-600-7840",
"fax_number": "415-600-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST",
"address_2": "SUITE 518",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152373",
"telephone_number": "415-600-7840",
"fax_number": "415-600-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTRO",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G35951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G359510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "00G359510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP NUMBER",
"identifier": "362152800",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.