Active NPI
Sutter East Bay Medical Foundation
- Family Medicine Physician
- Orinda, CA
National Provider Identifier
1871538769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUTTER EAST BAY MEDICAL FOUNDATION
- Practice address
- 12 Camino Encinas
Orinda, CA 94563-3304 - Phone
- (510) 204-8180
- NPI assigned
- Jun 17, 2006
- Last updated
- Oct 11, 2012
- 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
- Cathy Prosser
- Title
- Director Patient Financial Services
- Phone
- (925) 962-6616
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Rheumatology Physician | 207RR0500X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Neurology Physician | 2084N0400X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Podiatrist | 213E00000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
12 Camino Encinas
Orinda, CA 94563-3304
Mailing address
PO Box 254869
Sacramento, CA 95865-4869
Phone (916) 854-6795
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE0013 | Other | CA | RAILROAD MEDICARE |
| ZZZ663902 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300
4000 Dublin Blvd
Ste 320
Dublin, CA 94568
Phone (510) 204-2900
Practitioners & affiliated clinicians
Practitioners 3,358
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.
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-
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- NPI 1629014576
-
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-
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- Reproductive Endocrinology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349913600000",
"number": "1871538769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254869",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958654869",
"telephone_number": "916-854-6795",
"fax_number": "916-854-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CAMINO ENCINAS",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633304",
"telephone_number": "510-204-8180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER EAST BAY MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2012-10-11",
"status": "A",
"authorized_official_last_name": "PROSSER",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "DIRECTOR PATIENT FINANCIAL SERVICES",
"authorized_official_telephone_number": "925-962-6616"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE0013",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ663902",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orinda, CA
- Strawberry Creek Medical Group of California PC
- Sumeet Sandhu DDS Inc
- Summit Pediatric Medical Group Inc
- Hank Haw Sun, MD
- Sutter Bay Medical Foundation (Sutter East Bay Medical Foundation)
- Erika Noelle Swanson I, PHD
- Lloyd Heisaburo Takao, M.D.
- Matthew Tamplen, M.D.
- Shoshana Taubman, PSY.D.
- Cecelia Thomas, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.