Sutter West Bay Medical Foundation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUTTER WEST BAY MEDICAL FOUNDATION

Practice address

1200 Sonoma Ave
Ste 2
Santa Rosa, CA 95405-6664

Phone

(707) 571-2192

Fax

(707) 571-2194

NPI assigned

Jul 18, 2012

Organization subpart

Yes

Parent organization

SUTTER WEST BAY MEDICAL FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael J. Cohill

Title

President

Phone

(415) 600-7771

Specialties & licenses 1

Addresses

Other names 1

• Endoscopy Center of Santa Rosa Doing business as

Part of

Sutter West Bay Med Found

Locations (25 of 39)

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sutter West Bay Medical Foundation

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1104852789
  NPPES parent name

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

• Diana Amodia, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1679593693
  NPD (past)
• Joaquin A Barahona, M. D.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1205895133
  NPD (past)
• Angela Bogetti, N.P.

  • Nurse Practitioner
  • Sacramento, CA
  • NPI 1770503708
  NPD (past)
• Melissa Goebel, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1477630762
  NPD (past)
• Nelden William Hagbom

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
  • NPI 1467481655
  NPD (past)
• Katherine T Hsiao, MD

  • Gynecology Physician
  • San Francisco, CA
  • NPI 1437237674
  NPD (past)
• Corinne Rose Kohlen, R.D.

  • Renal Nutrition Registered Dietitian
  • San Luis Obispo, CA
  • NPI 1952638207
  NPD (past)
• Eric Leung

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1538745559
  NPD (past)
• Gary Lynn Maes, M.D.

  • Family Medicine Physician
  • Lakeport, CA
  • NPI 1134127939
  NPD (past)
• Scott Anthony Morey Jr., M.D.

  • Nephrology Physician
  • San Luis Obispo, CA
  • NPI 1770661894
  NPD (past)
• Tien Huy Nguyen, D.O.

  • Surgery Physician
  • Crescent City, CA
  • NPI 1720033889
  NPD (past)
• Brian Scott Penton, M.D.

  • Nephrology Physician
  • San Luis Obispo, CA
  • NPI 1558316083
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1811242563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 STEINER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152627",
            "telephone_number": "415-600-4280",
            "fax_number": "415-600-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SONOMA AVE",
            "address_2": "STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056664",
            "telephone_number": "707-571-2192",
            "fax_number": "707-571-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER WEST BAY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER WEST BAY MEDICAL FOUNDATION",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "COHILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-600-7771"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endoscopy Center of Santa Rosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sutter Valley Medical Foundation
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter West Bay Medical Foundation
• Sutter West Bay Medical Foundation
• Sutton Dental Practice Inc.
• Donna Sutton
• Foxine Michelle Sutton
• Jesse Sutton
• Julia Ann Sutton, L.AC.

• All providers in Santa Rosa, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.