Organization Active NPI

Sutter West Bay Hospitals

  • Rural Health Clinic/Center
  • Lakeport, CA
National Provider Identifier
1831597517
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUTTER WEST BAY HOSPITALS
Practice address
5176 Hill Rd E
Modular Building
Lakeport, CA 95453-6300
Phone
(707) 262-5088
Fax
(707) 262-5135
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Mr. John Gates
Title
Cfo
Phone
(415) 600-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

5176 Hill Rd E
Modular Building
Lakeport, CA 95453-6300

Mailing address

633 Folsom St 7TH Floor
San Francisco, CA 94107-3600
Phone (415) 600-7735

Other names 1

  • Lakeside Family Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatrist Clinic of62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

633 Folsom St
Fl 7
San Francisco, CA 94107

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1831597517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 FOLSOM ST 7TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073600",
            "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": "5176 HILL RD E",
            "address_2": "MODULAR BUILDING",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-262-5088",
            "fax_number": "707-262-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER WEST BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-600-7771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.