Active NPI
Sutter West Bay Medical Foundation
- Clinical Medical Laboratory
- San Francisco, CA
National Provider Identifier
1992870042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D0962082
- Legal business name
- SUTTER WEST BAY MEDICAL FOUNDATION
- Practice address
- 3801 Sacramento St
San Francisco, CA 94118-1625 - Phone
- (415) 600-4280
- Fax
- (415) 600-4255
- NPI assigned
- Nov 22, 2006
- Organization subpart
- Yes
- Parent organization
- SUTTER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morris Flaum
- Title
- Chief Executive Officer
- Phone
- (415) 600-4220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D0962082 | CA | Primary |
Addresses
Primary practice location
3801 Sacramento St
San Francisco, CA 94118-1625
Mailing address
PO Box 7999
San Francisco, CA 94120-7999
Phone (415) 600-4280
National Provider Directory
National Provider Directory- Part of
- Sutter Health Shared Laboratory
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246492800000",
"number": "1992870042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7999",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941207999",
"telephone_number": "415-600-4280",
"fax_number": "415-600-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SACRAMENTO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181625",
"telephone_number": "415-600-4280",
"fax_number": "415-600-4255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER WEST BAY MEDICAL FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER HEALTH",
"enumeration_date": "2006-11-22",
"last_updated": "2009-07-02",
"status": "A",
"authorized_official_last_name": "FLAUM",
"authorized_official_first_name": "MORRIS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "415-600-4220",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D0962082",
"primary": true
}
],
"identifiers": [],
"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 Jul 2, 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.