SUTTER BAY MEDICAL FOUNDATION NPI 1104067115

NPI Information

NPI: 1104067115
Provider Name: SUTTER BAY MEDICAL FOUNDATION

Former Legal Business Name: PALO ALTO MEDICAL FOUNDATION FOR HEALTH CARE, RESEARCH & EDUCATION

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301
Phone: (650) 853-1832
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SUTTER BAY MEDICAL FOUNDATION is an ambulatory surgical clinic center in Palo Alto, CA. SUTTER BAY MEDICAL FOUNDATION NPI is 1104067115. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Palo Alto Medical Foundation For Health Care, Research & Education.

The provider's business location address is:

795 EL CAMINO REAL
PALO ALTO, CA
ZIP 94301-302
Phone: (650) 853-1832

The provider's authorized official is Jeff Gerard .
The authorized official title is Regional President and has the following contact phone number (510) 450-7347.

The enumeration date for this NPI number is 3/20/2009 and was last updated on 11/9/2016.

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		CALIFORNIA	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: 11/14/2023

NPI Synchronization or Removal

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