SUTTER BAY MEDICAL FOUNDATION NPI 1043654486

NPI Information

NPI: 1043654486
Provider Name: SUTTER BAY MEDICAL FOUNDATION
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1038281

Address:
2581 SAMARITAN DR
SUITE 308
SAN JOSE, CA
ZIP 95124
Phone: (408) 876-4800
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SUTTER BAY MEDICAL FOUNDATION is an ambulatory surgical clinic center in San Jose, CA. SUTTER BAY MEDICAL FOUNDATION NPI is 1043654486. The provider is registered as an organization entity type.

The provider's business location address is:

2581 SAMARITAN DR
SUITE 308
SAN JOSE, CA
ZIP 95124-113
Phone: (408) 876-4800

The provider's authorized official is Elizabeth Vilardo .
The authorized official title is Ceo and has the following contact phone number (650) 934-3526.

The CLIA number assigned to this NPI record is 05D1038281 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2013 and was last updated on 10/4/2016.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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