SUTTER EAST BAY MEDICAL FOUNDATION NPI 1871538769

NPI Information

NPI: 1871538769
Provider Name: SUTTER EAST BAY MEDICAL FOUNDATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12 CAMINO ENCINAS
ORINDA, CA
ZIP 94563
Phone: (510) 204-8180
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SUTTER EAST BAY MEDICAL FOUNDATION is a family medicine in Orinda, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUTTER EAST BAY MEDICAL FOUNDATION NPI is 1871538769. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12 CAMINO ENCINAS
ORINDA, CA
ZIP 94563-304
Phone: (510) 204-8180

The provider's authorized official is Cathy Prosser .
The authorized official title is Director Patient Financial Services and has the following contact phone number (925) 962-6616.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207P00000X	Emergency Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RR0500X	Internal Medicine	Rheumatology	No
5	207V00000X	Obstetrics & Gynecology		No
6	2084N0400X	Psychiatry & Neurology	Neurology	No
7	2085R0202X	Radiology	Diagnostic Radiology	No
8	213E00000X	Podiatrist		No
9	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
10	213ES0131X	Podiatrist	Foot Surgery	No
11	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ663902	OTHER	CALIFORNIA	BLUE SHIELD
2	DE0013	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	ZZZ03198Z	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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