Organization Active NPI

Sutter West Bay Medical Foundation

  • Clinical Medical Laboratory
  • San Francisco, CA
National Provider Identifier
1992870042
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D0962082 Issued in CA
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.