Active NPI
Sutter East Bay Hospitals
- General Acute Care Hospital
- Antioch, CA
National Provider Identifier
1811129752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 140000258
- Legal business name
- SUTTER EAST BAY HOSPITALS
- Practice address
- 3901 Lone Tree Way
Antioch, CA 94509-6200 - Phone
- (925) 779-7200
- Fax
- (925) 779-7276
- NPI assigned
- Aug 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Gates
- Title
- Cfo Shba
- Phone
- (510) 450-7357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 140000258 | CA | Primary |
Addresses
Primary practice location
3901 Lone Tree Way
Antioch, CA 94509-6200
Mailing address
PO Box 742110
Los Angeles, CA 90074-2110
Phone (855) 398-1633
Other names 1
- Sutter Delta Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461196800000",
"number": "1811129752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742110",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900742110",
"telephone_number": "855-398-1633",
"fax_number": "510-658-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096200",
"telephone_number": "925-779-7200",
"fax_number": "925-779-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER EAST BAY HOSPITALS",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2016-04-21",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO SHBA",
"authorized_official_telephone_number": "510-450-7357"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "140000258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sutter Delta Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.