SUTTER BAY MEDICAL FOUNDATION NPI 1013950807

NPI Information

  • NPI: 1013950807
  • Provider Name: SUTTER BAY MEDICAL FOUNDATION
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PALO ALTO MEDIAL FOUNDATION
  • CLIA Number: 05D0692679
  • Address: 795 EL CAMINO REAL
    PALO ALTO, CA
    ZIP 94301
  • Phone: (650) 321-4121

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NPI Details

SUTTER BAY MEDICAL FOUNDATION is a multi-specialty clinic center in Palo Alto, CA. SUTTER BAY MEDICAL FOUNDATION NPI is 1013950807. The provider is registered as an organization entity type.
The provider Is Doing Business As Palo Alto Medial Foundation.

The provider's business location address is:

795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301-302
Phone: (650) 321-4121

The provider's authorized official is Krista Lopes .
The authorized official title is Sh Vp, Quality, Safety, Patient Edu and has the following contact phone number (916) 384-7544.

The CLIA number assigned to this NPI record is 05D0692679 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/23/2024.

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 License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes
2291U00000XClinical Medical LaboratoryNo

What is NPI?

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This page was last updated on: 3/30/2025

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